Basic Information
Provider Information
NPI: 1477848471
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LUHAR
FirstName: AARTI
MiddleName: PATIL
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PATIL
OtherFirstName: AARTI
OtherMiddleName: R
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 5767 W CENTURY BLVD STE 400
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900955631
CountryCode: US
TelephoneNumber: 3103018713
FaxNumber:  
Practice Location
Address1: 757 WESTWOOD PLZ STE 1638
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900953075
CountryCode: US
TelephoneNumber: 3102678758
FaxNumber: 3102672059
Other Information
ProviderEnumerationDate: 06/17/2011
LastUpdateDate: 10/25/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0204XA125877CAN Allopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
2085R0202XA125877CAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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