Healthcare Provider Details

I. General information

NPI: 1477848471
Provider Name (Legal Business Name): AARTI PATIL LUHAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AARTI R PATIL M.D.

II. Dates (important events)

Enumeration Date: 06/17/2011
Last Update Date: 10/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 WESTWOOD PLZ STE 1638
LOS ANGELES CA
90095-3075
US

IV. Provider business mailing address

5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90095-5631
US

V. Phone/Fax

Practice location:
  • Phone: 310-267-8758
  • Fax: 310-267-2059
Mailing address:
  • Phone: 310-301-8713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberA125877
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA125877
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: