Provider Demographics
NPI:1134486921
Name:PATEL, YERAL (MD)
Entity Type:Individual
Prefix:DR
First Name:YERAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 VON KARMAN AVE STE 1000
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2194
Mailing Address - Country:US
Mailing Address - Phone:949-364-6888
Mailing Address - Fax:949-364-6333
Practice Address - Street 1:4700 VON KARMAN AVE STE 1000
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2194
Practice Address - Country:US
Practice Address - Phone:949-364-6888
Practice Address - Fax:949-364-6333
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA124162207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine