Individual
MR. PRAKASH T PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 N 3RD AVE, # 306, COVINA, CA 91723
(626) 332-1815
(626) 966-9685
Mailing address
315 N 3RD AVE, # 306, COVINA, CA 91723
(626) 332-1815
(626) 966-9685
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A034471
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A344710
—
CA
Enumeration date
10/18/2006
Last updated
07/08/2007
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