| Amisha Patel Md Inc | |
|
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
| (323) 656-1202 | |
| (323) 656-1297 |
| Full Name | Amisha Patel Md Inc |
|---|---|
| Speciality | Hospitalist |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Authorized Official Name and Position | Amisha Patel (OWNE / PRESIDENT) |
| Authorized Official Contact | 3236561202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amisha Patel Md Inc 312 S Beverly Dr Unit 3122 Beverly Hills CA 90212-4813 Ph: (323) 656-1202 | Amisha Patel Md Inc 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (323) 656-1202 |
| NPI Number | 1396291415 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 08/29/2016 |
| Medicare PECOS PAC ID | 0446547061 |
|---|---|
| Medicare Enrollment ID | O20160926002366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396291415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A135035 (California) | Secondary |
| 208M00000X | Hospitalist | A135035 (California) | Primary |
| Provider Name | Amisha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649513656 PECOS PAC ID: 9436446051 Enrollment ID: I20160927001998 |
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