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Contact Information

PRATIBHA PATIL, MD
1510 FLORIDA AVE
MODESTO, CA95350
 Phone: 209-549-7090
 Fax: 209-549-7099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for PRATIBHA PATIL · (Female)

NPI Number 1609251925
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2015
Last updated 07/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A154869
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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