MEDICARE: DR. RENUKA NARAIN PATEL M.D.

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	2084P0800X	Psychiatry Physician	C181973	CA

General Provider Information

NPI Number	:	1104817147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENUKA NARAIN PATEL M.D.

Provider Business Mailing Address
First Line	:	1916 W BEVERLY DR
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-2021
Country	:	US
Telephone Number	:	314-775-3697
Fax Number	:

Provider Business Practice Location Address
First Line	:	18837 BROOKHURST ST STE 110
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-7301
Country	:	US
Telephone Number	:	314-246-0394
Fax Number	:

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	01/20/2026

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