Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 4644 | AZ |
NPI | 1043405301 |
---|---|
Provider Name | Dr. Ankur Ashok Patel |
First Address | Tempe, AZ 85284-3495 |
Second Address | Phoenix, AZ 85037-3364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2007 |
Last Update Date | 03/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
291846 | (05) | AZ |