Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 30.025635 | OH |
NPI | 1356629711 |
---|---|
Provider Name | Dr. Chintan I Patel |
First Address | Dublin, OH 43016-8366 |
Second Address | Harrisburg, PA 17110-9604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2011 |
Last Update Date | 19/06/2019 |