Provider Demographics
NPI:1619064912
Name:PATEL, PARYUS (MD)
Entity type:Individual
Prefix:DR
First Name:PARYUS
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8105 COLEGIO DRIVE
Mailing Address - Street 2:LOS ANGELES
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-1064
Mailing Address - Country:US
Mailing Address - Phone:310-562-3146
Mailing Address - Fax:310-295-0062
Practice Address - Street 1:555 E HARDY ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4011
Practice Address - Country:US
Practice Address - Phone:310-295-0075
Practice Address - Fax:310-216-0775
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2024-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA046419207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF13762Medicare UPIN