DR. DHIRENDRA JASHBHAI PATEL (NPI# 1790773893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790773893 |
| Entity Type | Individual |
| Full Name | DR. DHIRENDRA JASHBHAI PATEL |
| Credential | MD |
| Practice Address |
1100 Gail Gardner Way Prescott AZ 86305-1690 |
| Mailing Address |
1760 E River Rd Ste 350 Tucson AZ 85718-5999 |
| Practice Telephone | 9287761040 |
| Practice Fax Number | 9287761041 |
| Mailing Telephone | 5205197775 |
| Mailing Fax Number | 5205197910 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
17169 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 275132 | 05 | |
| AZ | RR MEDICARE | 920002679 | 01 |
| AZ | BCBS | AZ0347980 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7825 E Florentine Rd, Prescott Valley, AZ 863142217 | 9287750810 | 9287750827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538303078 | Dhirendra Ramabhai Patel | Dentist | 7540 Fay Ave, La Jolla, CA 92037 | 2009-04-28 |
| 1487774543 | Dhirendra A Patel | Internal Medicine | 1236 Us Highway 46, Suite 1, Parsippany, NJ 07054-2159 | 2007-03-30 |
| 1306837471 | Dhirendra K Patel | Internal Medicine | 2981 N Main St, Decatur, IL 62526-3259 | 2005-10-28 |
| Street Address |
1100 GAIL GARDNER WAY |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457753592 | Vantage Cancer Care Network of Arizona, S.c. | Radiology | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2014-09-19 |
| 1962804302 | Vantage Cancer Care - Arizona, S.c. | Radiology | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2014-09-17 |
| 1841503885 | Northern Arizona Oncology Centers LLC | Internal Medicine | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2010-07-20 |
| 1821210048 | Dhirendra J. Patel, Md, PC | Internal Medicine | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2007-05-03 |
| 1003899816 | Donn Marshall Davis | Specialist | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2005-11-25 |
| 1164411724 | Mukundkumar V Patel | Internal Medicine | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457753592 | Vantage Cancer Care Network of Arizona, S.c. | Radiology | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2014-09-19 |
| 1962804302 | Vantage Cancer Care - Arizona, S.c. | Radiology | 1100 Gail Gardner Way, Prescott, AZ 86305-1690 | 2014-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383701 | Alliance Oncology of Arizona, LLC | Radiology | 21300 N John Wayne Pkwy Ste 116, Maricopa, AZ 85139-8978 | 2020-10-12 |
| 1902305899 | Sonoran Skin Cancer Treatment Centers, LLC | Radiology | 1425 Greenfield Road, Mesa, AZ 85206 | 2018-02-06 |
| 1811307333 | Joshua R Niska | Radiology | Bmda @ Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 | 2014-05-06 |
| 1053731356 | Andrew Orton | Radiology | 121 West Esperanza Blvd, 181, Green Valley, AZ 85614-6687 | 2014-04-24 |
| 1346668514 | Ashley Ann Albert | Radiology | 14155 N 83rd Ave Ste 127, Peoria, AZ 85381-5652 | 2014-04-03 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1366726788 | Vershalee Shukla | Radiology | 7469 E Monte Cristo Ave, Scottsdale, AZ 85260-1618 | 2011-10-04 |
| 1194988204 | David Thomas Vonk | Radiology | 6567 E Carondelet Dr Ste 100, Tucson, AZ 85710-6152 | 2008-07-08 |
| 1679767768 | Simul D Parikh | Radiology | Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 | 2007-08-31 |
| 1457561086 | Kurt Andrew Wharton | Radiology | 7410 N Zanjero Blvd, Palo Verde Cancer Center-west Valley, Glendale, AZ 85308 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.