Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 25MA04977400 | NJ |
NPI | 1245314913 |
---|---|
Provider Name | Archana M Patel |
First Address | Red Bank, NJ 07701 |
Second Address | New Brunswick, NJ 08901-1962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 22/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0312618000 | AMERIHEALTH (01) | NJ |
110141415 | RAILROAD MEDICARE (01) | NJ |
1109596 | HORIZON NJ HEALTH (01) | NJ |
1K9037 | HEALTHNET (01) | NJ |
2259075 | AETNA (01) | NJ |
23958 | UNIVERSITY HEALTH PLANS (01) | NJ |
5372305 | (05) | NJ |
780222259 | HORIZON (01) | NJ |
8396147006 | CIGNA (01) | NJ |
F48527 | (02) | NJ |
HU0000154 01 | AMERICHOICE (01) | NJ |
P00133010 | RR MCR PTAN (01) | NJ |
P1725311 | OXFORD (01) | NJ |