Provider Demographics
NPI:1679830756
Name:PATEL, NEERAJ M (MD)
Entity Type:Individual
Prefix:DR
First Name:NEERAJ
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:10515 BALBOA BLVD STE 290
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-6362
Mailing Address - Country:US
Mailing Address - Phone:818-831-8999
Mailing Address - Fax:818-831-8990
Practice Address - Street 1:10515 BALBOA BLVD STE 290
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-6362
Practice Address - Country:US
Practice Address - Phone:818-831-8999
Practice Address - Fax:818-831-8990
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC181548207R00000X
TXQ7767208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX370960201Medicaid