Provider Demographics
NPI:1104023977
Name:PATEL, ASHISH B (MD)
Entity Type:Individual
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First Name:ASHISH
Middle Name:B
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10 CONGRESS ST STE 155
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3045
Mailing Address - Country:US
Mailing Address - Phone:626-486-0181
Mailing Address - Fax:626-486-0189
Practice Address - Street 1:800 FAIRMOUNT AVE
Practice Address - Street 2:STE 220
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3154
Practice Address - Country:US
Practice Address - Phone:626-486-0187
Practice Address - Fax:626-486-0189
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
CAA82228207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA82228OtherCA LICENSE
CABP8513663OtherDEA