Provider Demographics
NPI:1083727051
Name:PATEL, RAMESH (MD)
Entity Type:Individual
Prefix:MR
First Name:RAMESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2653 ELM AVE
Mailing Address - Street 2:#200
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1652
Mailing Address - Country:US
Mailing Address - Phone:562-728-5000
Mailing Address - Fax:562-595-5296
Practice Address - Street 1:2653 ELM AVE
Practice Address - Street 2:#200
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1652
Practice Address - Country:US
Practice Address - Phone:562-728-5000
Practice Address - Fax:562-595-5296
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2013-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA465682080A0000X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H37188Medicare UPIN