Individual
RAVI R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17053 FOOTHILL BLVD, FONTANA, CA 92335-3574
(909) 347-1300
Mailing address
17053 FOOTHILL BLVD, FONTANA, CA 92335-3574
(909) 347-1300
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A128340
CA
Other
Enumeration date
05/23/2011
Last updated
12/29/2022
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