Provider Demographics
NPI:1750311924
Name:RAMESH R. PATEL, M.D., FCCP, INC.
Entity Type:Organization
Organization Name:RAMESH R. PATEL, M.D., FCCP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-378-5550
Mailing Address - Street 1:18111 BROOKHURST ST
Mailing Address - Street 2:SUITE 4600
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6728
Mailing Address - Country:US
Mailing Address - Phone:714-378-5550
Mailing Address - Fax:714-378-5504
Practice Address - Street 1:18111 BROOKHURST ST
Practice Address - Street 2:SUITE 4600
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6728
Practice Address - Country:US
Practice Address - Phone:714-378-5550
Practice Address - Fax:714-378-5504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42669207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ05916ZOtherBLUE SHIELD GROUP #
CA00A426690Medicaid
CAZZZ05916ZOtherBLUE SHIELD GROUP #
CAE52040Medicare UPIN