Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | Q7945 | TX |
Y | 207YS0123X | Facial Plastic Surgeon | A156753 | CA |
NPI | 1316236565 |
---|---|
Provider Name | Dr. Vivek-Sagar Mukesh Patel |
First Address | Beverly Hills, CA 90210-5003 |
Second Address | Beverly Hills, CA 90210-5003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 30/08/2020 |