Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 16552 | NV |
N | 2080A0000X | Adolescent Medicine | 072391 | GA |
N | 2080A0000X | Adolescent Medicine | 16552 | NV |
NPI | 1154613289 |
---|---|
Provider Name | Dr. Bejal Patel |
First Address | Reno, NV 89502-1576 |
Second Address | Reno, NV 89502-1175 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2011 |
Last Update Date | 30/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16552 | NV MEDICAL LICENSE (01) | NV |