Provider Demographics
NPI:1053345926
Name:PATEL, NIKHIL C (MD)
Entity type:Individual
Prefix:DR
First Name:NIKHIL
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:25485 MEDICAL CENTER DR STE 106
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6927
Mailing Address - Country:US
Mailing Address - Phone:585-755-0523
Mailing Address - Fax:951-574-6501
Practice Address - Street 1:25485 MEDICAL CENTER DR STE 106
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-6927
Practice Address - Country:US
Practice Address - Phone:585-755-0523
Practice Address - Fax:951-574-6501
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2025-01-02
Deactivation Date:2019-11-16
Deactivation Code:
Reactivation Date:2019-12-11
Provider Licenses
StateLicense IDTaxonomies
NY2173022085R0202X, 2085R0204X
AZ559162085R0204X
CAA711842085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology