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Shivam Patel

Podiatrist, Foot & Ankle Surgery in Los Angeles, CA. Individual provider (NPI-1).

NPI number1053986992
StatusActive
Last updated in NPPESMar 9, 2024

Details

NPI
1053986992
Entity type
Individual (NPI-1)
Name
Shivam Patel
Sex
Male
Sole proprietor
Yes
Enumeration date
May 24, 2021
Certification date
Mar 9, 2024
Last updated
Mar 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery5978CAYes

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Phone 310-478-3711

Mailing address

Po Box 782
Artesia, CA 90702-0782

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