Provider Demographics
NPI:1447465422
Name:PATEL, HANSA RAVJI (MD)
Entity type:Individual
Prefix:DR
First Name:HANSA
Middle Name:RAVJI
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:25623 AMBER LEAF RD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-7152
Mailing Address - Country:US
Mailing Address - Phone:310-530-5037
Mailing Address - Fax:
Practice Address - Street 1:711 DEL AMO BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1362
Practice Address - Country:US
Practice Address - Phone:310-354-2200
Practice Address - Fax:310-677-5777
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA253222083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA25322OtherCALIFORNIA MEDICAL LICENS
CAA25322OtherCALIFORNIA MEDICAL LICENS