Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | A53272 | CA |
NPI | 1093820474 |
---|---|
Provider Name | Dr. Chetan Patel |
First Address | Madera, CA 93636-8761 |
Second Address | Madera, CA 93638-8762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 12/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093820474 | (05) | CA |