MEDICARE: DR. HITESH D 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	208000000X	Pediatrics Physician	A50292	CA

General Provider Information

NPI Number	:	1902844889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HITESH D PATEL MD

Provider Business Mailing Address
First Line	:	1311 S ANAHEIM BLVD
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92805-6206
Country	:	US
Telephone Number	:	714-635-6400
Fax Number	:	714-635-6433

Provider Business Practice Location Address
First Line	:	1311 SOUTH ANAHEIM BLVD
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92805-3426
Country	:	US
Telephone Number	:	714-635-6400
Fax Number	:	714-635-6433

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	09/18/2009

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