Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35128175 | OH |
N | 2080P0204X | Pediatric Emergency Doctor | 35-128175 | OH |
NPI | 1174816250 |
---|---|
Provider Name | Ambrish Patel |
First Address | Baltimore, MD 21287-0010 |
Second Address | Baltimore, MD 21287-0010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2011 |
Last Update Date | 28/06/2019 |