# HERAJ PATEL, DPM INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497161780
- **Authorized official:** DR. HERAJ PATEL DPM (DOCTOR)
- **Authorized official phone:** (818) 571-8232

## Contact information

- **Practice address:** 425 HAALAND DR, SUITE 201, THOUSAND OAKS, CA 91361-5229
- **Practice address phone:** (805) 496-2383
- **Mailing address:** 4939 KILBURN CT, OAK PARK, CA 91377-4717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E5139 | CA | Yes |

## Other

- **Enumeration date:** 07/07/2014
- **Last updated:** 07/07/2014