Individual ProviderShreeti PatelInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1250 16th St, Santa Monica, CA 90404-1249(310) 319-4698(310) 301-5138PECOS EnrollmentBased on the most recent information from CMS, provider Shreeti Patel is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1154322691Provider TypeIndividualFull NamePatel, ShreetiCredentialMDGenderFemaleSole ProprietorNoEnumeration Date8/9/2005Last Updated2/5/2024Contact InformationPractice LocationPractice Address1250 16th St, Santa Monica, CA 90404-1249Phone(310) 319-4698Fax(310) 319-4908Mailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631Phone(310) 301-5138FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA72604CaliforniaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseA72604CaliforniaProvider IdentifiersIDDescriptionIssuerID00A726040DescriptionMedicaidIssuerUnlistedCalifornia