MEDICARE: PURVI R. 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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	A82356	CA
2	208M00000X	Hospitalist Physician	A82356	CA

General Provider Information

NPI Number	:	1235217720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PURVI R. PATEL MD

Provider Business Mailing Address
First Line	:	928 N SAN FERNANDO BLVD
Second Line	:	STE J 237
City	:	BURBANK
State	:	CA
Zip	:	91504-4350
Country	:	US
Telephone Number	:	408-439-1012
Fax Number	:

Provider Business Practice Location Address
First Line	:	928 N SAN FERNANDO BLVD
Second Line	:	STE J 237
City	:	BURBANK
State	:	CA
Zip	:	91504-4350
Country	:	US
Telephone Number	:	408-439-1012
Fax Number	:

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	02/19/2020

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Directions to “ PURVI R. PATEL MD” Practice Location

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