MEDICARE: SEJAL N PATEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1528924537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEJAL N PATEL MD

Provider Business Mailing Address
First Line	:	214 S KALORAMA ST
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93001-5924
Country	:	US
Telephone Number	:	760-662-0343
Fax Number	:

Provider Business Practice Location Address
First Line	:	506 LENOX AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10037-1802
Country	:	US
Telephone Number	:	844-692-4692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/03/2026

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