Individual
DR. SHOUNUCK ISHVER PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5020 CAMPUS DR STE 210, NEWPORT BEACH, CA 92660-2111
(310) 929-9790
(310) 929-9791
Mailing address
56 STATUARY, IRVINE, CA 92620-3551
(202) 277-3130
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A13788
CA
Other
Enumeration date
11/06/2009
Last updated
01/26/2024
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