Individual
DR. TRUSHAR JAYANTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 645-3534
Mailing address
471 OLD NEWPORT BLVD STE 302, NEWPORT BEACH, CA 92663-4244
(949) 263-8620
(800) 409-7005
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A117321
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A1173210
BC/BS OF CA
CA
05
—
1982858809
—
CA
Enumeration date
11/05/2008
Last updated
01/27/2015
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