Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35074451 | OH |
N | 111NI0900X | Internist | 35074451 | OH |
N | 208000000X | Pediatrician | 35074451 | OH |
Y | 2080P0214X | Pediatric Pulmonologist | 35074451 | OH |
NPI | 1144217886 |
---|---|
Provider Name | Alpa Vallabh Patel |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 25/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2305115 | (05) | OH |
64016686 | (05) | KY |
G89194 | (02) |