Patel, Mita B

Patel, Mita B is an individual health care provider with primary practice located at 4676 Admiralty Way # 301 , Marina Del Rey CA 90292-6601. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Patel, Mita B can be contacted via phone (310) 673-3945.

Contact Information

Primary practice address
4676 Admiralty Way # 301 Marina Del Rey CA 90292-6601
Phone: (310) 673-3945
Fax: (310) 673-0273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 64496 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.054484 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A150310 California

Profile Details

NPI number 1609032986
LBN Legal business name Patel, Mita B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2008
Last updated Jun 25th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609032986 NPPES
Wisconsin MEDICAID 1609032986

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