MEDICARE: PARTH 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	208600000X	Surgery Physician	125067090	IL
2	208800000X	Urology Physician	125067090	IL
3	208800000X	Urology Physician	A171874	CA

General Provider Information

NPI Number	:	1790170249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARTH PATEL M.D.

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 UCLA MEDICAL PLZ STE 140
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-3328
Country	:	US
Telephone Number	:	310-206-8164
Fax Number	:

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

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	12/30/2024

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Directions to “ PARTH PATEL M.D.” Practice Location

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