Individual
SANJIV MANUBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18111 BROOKHURST ST STE 5100, FOUNTAIN VALLEY, CA 92708
(714) 546-2238
(714) 434-8145
Mailing address
18111 BROOKHURST ST STE 5100, FOUNTAIN VALLEY, CA 92708-6728
(714) 546-2238
(714) 434-8145
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A102972
CA
207RI0011X
Interventional Cardiology Physician
25MA07611500
NJ
Other
Enumeration date
06/27/2007
Last updated
07/25/2018
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