Basic Information
| Provider Information | |||||||||
| NPI: | 1083727051 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | RAMESH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2653 ELM AVE | ||||||||
| Address2: | #200 | ||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908061652 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5627285000 | ||||||||
| FaxNumber: | 5625955296 | ||||||||
| Practice Location | |||||||||
| Address1: | 2653 ELM AVE | ||||||||
| Address2: | #200 | ||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908061652 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5627285000 | ||||||||
| FaxNumber: | 5625955296 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2006 | ||||||||
| LastUpdateDate: | 02/20/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080A0000X | A46568 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | Adolescent Medicine | 2080P0207X | A46568 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology |
No ID Information.