Healthcare Provider Details

I. General information

NPI: 1932308285
Provider Name (Legal Business Name): SEJAL M PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2007
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N ROXBURY DR STE 106
BEVERLY HILLS CA
90210-5003
US

IV. Provider business mailing address

435 N ROXBURY DR STE 106
BEVERLY HILLS CA
90210-5003
US

V. Phone/Fax

Practice location:
  • Phone: 424-652-8801
  • Fax: 310-362-0319
Mailing address:
  • Phone: 424-652-8801
  • Fax: 310-362-0319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA104427
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number238984
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: