Patel, Mital
Patel, Mital is an individual health care provider with primary practice located at 12665 Garden Grove Blvd Suite 211, Garden Grove CA 92843-1901. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Patel, Mital can be contacted via phone (818) 364-3205.Contact Information
Primary practice address
12665 Garden Grove Blvd Suite 211
Garden Grove CA 92843-1901
Phone: (818) 364-3205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A152700 | California |
Profile Details
| NPI number | 1609223361 |
|---|---|
| LBN Legal business name | Patel, Mital |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2016 |
| Last updated | Mar 15th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609223361 | NPPES |
| California | MEDICAID | 222754392 |
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