Healthcare Provider Details

I. General information

NPI: 1750311924
Provider Name (Legal Business Name): RAMESH R. PATEL, M.D., FCCP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 10/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18111 BROOKHURST ST SUITE 4600
FOUNTAIN VALLEY CA
92708-6728
US

IV. Provider business mailing address

18111 BROOKHURST ST SUITE 4600
FOUNTAIN VALLEY CA
92708-6728
US

V. Phone/Fax

Practice location:
  • Phone: 714-378-5550
  • Fax: 714-378-5504
Mailing address:
  • Phone: 714-378-5550
  • Fax: 714-378-5504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA42669
License Number StateCA

VIII. Authorized Official

Name: DR. RAMESH R. PATEL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-378-5550