Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 3154 | OK |
NPI | 1265916522 |
---|---|
Provider Name | Devika Patel |
First Address | Oklahoma City, OK 73127-6339 |
Second Address | Oklahoma City, OK 73127-6339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2018 |
Last Update Date | 30/03/2020 |