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Shivam Patel
Foot & Ankle Surgery Podiatrist in Los Angeles, California
NPI 1053986992

Shivam Patel is a Foot & Ankle Surgery Podiatrist based in Artesia, CA and is specialized in Foot & Ankle Surgery. Shivam Patel practices in Los Angeles, CA. The NPI Number for Shivam Patel is 1053986992 and holds a License No. 5978 (California).

The current practice location address for Shivam Patel is 11301 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 310-478-3711.

Location: 11301 Wilshire Blvd, Los Angeles, CA, 90702-0782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053986992
Provider Name
Shivam Patel
Credential
Provider Entity Type
Individual
Gender
Male
Address
11301 Wilshire Blvd, Los Angeles, CA, 90702-0782
Phone Number
310-478-3711
Fax Number
Provider Enumeration Date
05/24/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11301 Wilshire Blvd
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
310-478-3711
Fax Number
person
Provider Business Mailing Address Details
Address
11301 Wilshire Blvd
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
310-478-3711
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
5978 (California)
Definition
Definition to come...
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