Provider Demographics
NPI:1740523406
Name:PATEL, ROMA RAJESHKUMAR (MD)
Entity type:Individual
Prefix:
First Name:ROMA
Middle Name:RAJESHKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8749 SOUTHWESTERN BLVD
Mailing Address - Street 2:APT 9305
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-2702
Mailing Address - Country:US
Mailing Address - Phone:404-316-9709
Mailing Address - Fax:
Practice Address - Street 1:999 N TUSTIN AVE STE 109
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-6501
Practice Address - Country:US
Practice Address - Phone:714-664-0045
Practice Address - Fax:714-664-0049
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA141391207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease