MEDICARE: BHARAT J 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	208800000X	Urology Physician	A34922	CA

General Provider Information

NPI Number	:	1033282827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHARAT J PATEL MD

Provider Business Mailing Address
First Line	:	12400 VENTURA BLVD
Second Line	:	STE. 1199
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2406
Country	:	US
Telephone Number	:	213-483-6322
Fax Number	:	213-484-6317

Provider Business Practice Location Address
First Line	:	2010 WILSHIRE BLVD
Second Line	:	STE. 801
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3507
Country	:	US
Telephone Number	:	213-483-6322
Fax Number	:	213-483-6322

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	10/22/2012

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Directions to “ BHARAT J PATEL MD” Practice Location

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