| Himadri M. Patel, Do A Medical Corporation | |
|
18350 Roscoe Blvd Suite 604 Northridge CA 91325-4109 | |
| (818) 775-9301 | |
| Not Available |
| Full Name | Himadri M. Patel, Do A Medical Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 18350 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Himadri M Patel (PRESIDENT) |
| Authorized Official Contact | 8187759301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Himadri M. Patel, Do A Medical Corporation 18350 Roscoe Blvd Suite 604 Northridge CA 91325-4109 Ph: () - | Himadri M. Patel, Do A Medical Corporation 18350 Roscoe Blvd Suite 604 Northridge CA 91325-4109 Ph: (818) 775-9301 |
| NPI Number | 1356543052 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356543052 | NPI | - | NPPES |
| 00AX74940 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A7494 (California) | Primary |
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