Individual
CHOUDHARY BALWAN S. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4525 E ATHERTON ST, LONG BEACH, CA 90815-3700
(562) 961-0155
Mailing address
4525 E ATHERTON ST, LONG BEACH, CA 90815-3700
(562) 961-0155
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35039
MA
2084P0800X
Psychiatry Physician
Primary
C127780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014858
—
MA
Enumeration date
06/27/2006
Last updated
09/17/2014
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