Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080A0000X | Adolescent Medicine | A46568 | CA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | A46568 | CA |
NPI | 1083727051 |
---|---|
Provider Name | Mr. Ramesh Patel |
First Address | Long Beach, CA 90806-1652 |
Second Address | Long Beach, CA 90806-1652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 20/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H37188 | (02) |