Individual
SUPRIYA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 SAN PABLO ST STE 514, LOS ANGELES, CA 90033-5324
(323) 442-5876
Mailing address
1510 SAN PABLO ST STE 514, LOS ANGELES, CA 90033-5324
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A110750
CA
Other
Enumeration date
03/27/2010
Last updated
02/11/2022
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