Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.096316 | OH |
N | 111NI0900X | Internist | 35.096316 | OH |
Y | 207RA0401X | Internist - Addiction Medicine | 35.096316 | OH |
NPI | 1720231897 |
---|---|
Provider Name | Amitkumar Mahendrakumar Patel |
First Address | Cincinnati, OH 45202-1475 |
Second Address | Cincinnati, OH 45239-5537 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2008 |
Last Update Date | 26/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00727 | (05) | OH |
7100588310 | (05) | KY |