Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 60527 | WI |
N | 2080P0210X | Pediatric Nephrologist | 60527 | WI |
NPI | 1720425572 |
---|---|
Provider Name | Ameya P Patil |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2013 |
Last Update Date | 02/10/2020 |