Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | A34922 | CA |
NPI | 1033282827 |
---|---|
Provider Name | Bharat J Patel |
First Address | Studio City, CA 91604-2406 |
Second Address | Los Angeles, CA 90057-3507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 22/10/2012 |