DR. SANDIP ARVIND PATIDAR MD NPI 1063463784

NPI Information

NPI: 1063463784
Provider Name: DR. SANDIP ARVIND PATIDAR, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
900 S AUBURN STREET
KENNEWICK, WA
ZIP 99336
Phone: (509) 586-5945
Get Directions

DR. Sandip Arvind Patidar, MD is a diagnostic radiology radiology in Kennewick, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Sandip Arvind Patidar, MD NPI is 1063463784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 S AUBURN STREET
KENNEWICK, WA
ZIP 99336-621
Phone: (509) 586-5945
Fax: (509) 586-5178

The NPI 1063463784 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 1/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	A84061	CALIFORNIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	50536	COLORADO	No
3	2085R0202X	Radiology	Diagnostic Radiology	MD00044796	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7660338	OTHER	TEXAS	AETNA
2	5892790001	MEDICARE NSC	TEXAS
3	29527261	MEDICAID	COLORADO
4	1063463784	OTHER	COLORADO	BC/BS OF CO
5	155584903	MEDICAID	TEXAS
6	DT230X	MEDICARE PIN	CALIFORNIA
7	8F4871	MEDICARE PIN	TEXAS
8	WA84061A	MEDICARE PIN
9	8870265	MEDICARE PIN	WASHINGTON
10	8W0413	OTHER	TEXAS	BCBS-TX
11	P00438460	OTHER	TEXAS	MEDICARE RAILROAD
12	H66233	MEDICARE UPIN
13	8434086	MEDICAID	WASHINGTON
14	00A840610	MEDICAID	CALIFORNIA
15	P00605739	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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