Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GRIGORIY N PATISH, DPM
Active Sole ProprietorDR. GRIGORIY N PATISH, DPM is a Radiology Podiatrist healthcare provider located in FALLBROOK, California. NPI 1609817535 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · FALLBROOK, CA
Registration Details
- NPI Number
- 1609817535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2006 (20.217280083029 yrs)
- Last Updated
- Mar 31, 2021
- Licenses
-
N005980 (NY)25MD00298800 (NJ)E4987 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
407 POTTER ST STE AFALLBROOK, CA, 920283086Browse CA providers · Browse ZIP 92028
- Phone
- 7607284800
- Fax
- 7607280061
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Radiology Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.