Individual
VIRAJ BAKUL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5400 W ROSECRANS AVE STE 100, HAWTHORNE, CA 90250-6686
(310) 643-8500
(310) 536-0495
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
20A21726
CA
Other
Enumeration date
06/25/2019
Last updated
01/05/2026
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