Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME89514 | FL |
NPI | 1043214307 |
---|---|
Provider Name | Dr. Aftab Patni |
First Address | Winter Park, FL 32792-4143 |
Second Address | Winter Park, FL 32792-4143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 27/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01107626 | AMERIGROUP (01) | |
270382300 | (05) | FL |
37632 | BLUE CROSS (01) | |
I09040 | (02) | |
ME89514 | WORKER'S COMP (01) | |
P00143562 | RR MEDICARE (01) | |
P00360992 | RR MEDICARE (01) |