| Suman N.patel,md A Professional Corporation | |
|
6850 Sepulveda Blvd Suite 217 Van Nuys CA 91405-4444 | |
| (818) 901-7855 | |
| (818) 901-1915 |
| Full Name | Suman N.patel,md A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 6850 Sepulveda Blvd, Van Nuys, California |
| Authorized Official Name and Position | Suman N Patel (CEO) |
| Authorized Official Contact | 8189017855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suman N.patel,md A Professional Corporation 6850 Sepulveda Blvd Suite 217 Van Nuys CA 91405-4444 Ph: (818) 901-7855 | Suman N.patel,md A Professional Corporation 6850 Sepulveda Blvd Suite 217 Van Nuys CA 91405-4444 Ph: (818) 901-7855 |
| NPI Number | 1386791218 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 02/08/2022 |
| Medicare PECOS PAC ID | 3971542556 |
|---|---|
| Medicare Enrollment ID | O20050503000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386791218 | NPI | - | NPPES |
| GR0085320 | Medicaid | CA | |
| 110057858 | Other | CA | RAILROAD MEDICARE PROVIDE |
| W14112 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rabi U Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821288812 PECOS PAC ID: 0244310134 Enrollment ID: I20080104000263 |
| Provider Name | Suman N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437225174 PECOS PAC ID: 9638368608 Enrollment ID: I20110106000102 |
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