Dr. Patrick E Phelan
MD | Pediatrics | Male
Dr. Patrick E Phelan, MD is a Indio, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Patrick E Phelan is
82934 Civic Center Dr, Indio, California - 92201-4308. He can be contacted on phone at
442-666-5076.
Dr. Patrick E Phelan is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Patrick E Phelan is
1083771398 which was assigned by NPPES on 03 Jan, 2007 and it was last updated on 01 Dec, 2022.
Dr. Patrick E Phelan license number is
C173151 for Pediatrics (208000000X) in California.
Dr. Patrick E Phelan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Patrick E Phelan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Patrick E Phelan |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Patrick E Phelan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 82934 Civic Center Dr
Indio, CA, 92201-4308
United States |
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| Phone Number : | 442-666-5076 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1083771398 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Jan, 2007 |
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| Last Updated On : | 01 Dec, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Patrick E Phelan are as mentioned. Primary taxonomy code for Dr. Patrick E Phelan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 036-095191 | IL |
| 208000000X | Pediatrics | No | 86455 | GA |
| 208000000X | Pediatrics | Yes | C173151 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Patrick E Phelan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036095191 1 | MEDICAID | IL | |
| 214660 L62494 | MEDICARE ID-Type Unspecified | WI | |
| G60898 | MEDICARE UPIN | | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2000 LAKE AVE,
WOODSTOCK, IL, 60098-7401
United States | WOODSTOCK, IL | 815-337-7100 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 11175 Campus St # A-1111
Loma Linda, CA, 92350-1700
United States |
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| Phone Number : | 909-558-8142 |
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Business Location:
Patients can refer following map for directions to
Dr. Patrick E Phelan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.