Basic Information
| Provider Information | |||||||||
| NPI: | 1508081530 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | SAMEER | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 1036 | ||||||||
| Address2: | |||||||||
| City: | MONTROSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8182489843 | ||||||||
| FaxNumber: | 8182489884 | ||||||||
| Practice Location | |||||||||
| Address1: | 1812 VERDUGO BLVD | ||||||||
| Address2: | |||||||||
| City: | GLENDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8187907100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2007 | ||||||||
| LastUpdateDate: | 12/22/2011 | ||||||||
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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 | 2085R0202X | 4301082320 | MI | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | A100702 | CA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085B0100X | A100702 | CA | N | Allopathic & Osteopathic Physicians | Radiology | Body Imaging | 2085N0700X | A100702 | CA | N | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology | 2085R0001X | A100702 | CA | N | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | 2085R0203X | A100702 | CA | N | Allopathic & Osteopathic Physicians | Radiology | Therapeutic Radiology | 2085R0204X | A100702 | CA | N | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology | 2080P0205X | A100702 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology | 2085U0001X | A100702 | CA | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Ultrasound |
No ID Information.