Individual
SHIVANI KAMALESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2141 N HARBOR BLVD STE 25000, FULLERTON, CA 92835-3830
(714) 626-8650
(714) 626-8654
Mailing address
2141 N HARBOR BLVD STE 25000, FULLERTON, CA 92835-3830
(714) 626-8650
(714) 626-8654
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A131871
CA
208M00000X
Hospitalist Physician
131871
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2011
Last updated
11/09/2021
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