Provider Demographics
NPI:1033282827
Name:PATEL, BHARAT J (MD)
Entity Type:Individual
Prefix:
First Name:BHARAT
Middle Name:J
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12400 VENTURA BLVD
Mailing Address - Street 2:STE. 1199
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2406
Mailing Address - Country:US
Mailing Address - Phone:213-483-6322
Mailing Address - Fax:213-484-6317
Practice Address - Street 1:2010 WILSHIRE BLVD
Practice Address - Street 2:STE. 801
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-3507
Practice Address - Country:US
Practice Address - Phone:213-483-6322
Practice Address - Fax:213-483-6322
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2012-10-22
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Provider Licenses
StateLicense IDTaxonomies
CAA34922208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A34922Medicare ID - Type Unspecified