| Doctor Name: | DR. SANDIP ARVIND PATIDAR |
| NPI Number: | 1063463784 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A84061 |
| Business Practice Address: | 900 S Auburn Street Kennewick, WA - 993365621 |
| Business Phone Number: | 5095865945 |
| Business Fax Number: | 5095865178 |
| Mailing Address: | Po Box 1441, AMARILLO |
| State: | TX |
| Postal Code: | 791051441 |
| Phone Number: | 8669729247 |
| Fax Number: | 5095865178 |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 01/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | A84061 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |