Individual
AMISH A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 S FAIR OAKS AVE STE 215, PASADENA, CA 91105-2613
(626) 793-4139
(626) 304-8280
Mailing address
3452 E FOOTHILL BLVD STE 130, PASADENA, CA 91107-6006
(626) 793-2885
(626) 793-6262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.120620
OH
207R00000X
Internal Medicine Physician
A126376
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A126376
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080006
—
OH
Enumeration date
03/22/2010
Last updated
10/16/2020
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