Trushyap Ravajibhai Patel | Redding, CA • PECOS Search

Trushyap Ravajibhai Patel

Dentist

Dental Providers

2147 Court St, Redding, CA 96001-2531

(530) 246-4100 (530) 242-9266

PECOS Enrollment

Based on the most recent information from CMS, provider Trushyap Ravajibhai Patel does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1033177860
Provider Type
Individual
Full Name
Patel, Trushyap Ravajibhai
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
5/2/2006
Last Updated
12/13/2013

Contact Information

Practice Location

2147 Court St, Redding, CA 96001-2531

(530) 246-4266

Mailing Location

2279 Wicklow St, Redding, CA 96001-6001

(530) 242-9266

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License D-50969 California