Individual
BIRAJU PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-4721
Mailing address
FILE 55619, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A95867
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A958670
—
CA
Enumeration date
11/14/2006
Last updated
12/03/2007
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