Individual
MRS. MITAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12665 GARDEN GROVE BLVD, SUITE 211, GARDEN GROVE, CA 92843-1901
(818) 364-3205
Mailing address
12665 GARDEN GROVE BLVD, SUITE 211, GARDEN GROVE, CA 92843-1901
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A152700
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222754392
—
CA
Enumeration date
05/23/2016
Last updated
03/15/2022
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