Provider Demographics
NPI:1730875659
Name:PATEL, PRIYESH (MD)
Entity type:Individual
Prefix:DR
First Name:PRIYESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W OCEAN BLVD APT 6708
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-7961
Mailing Address - Country:US
Mailing Address - Phone:714-482-5978
Mailing Address - Fax:
Practice Address - Street 1:300 W OCEAN BLVD APT 6708
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-7961
Practice Address - Country:US
Practice Address - Phone:714-482-5978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program