Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD206346 | LA |
NPI | 1336466200 |
---|---|
Provider Name | Dr. Darshan Patel |
First Address | Monroe, LA 71201-5782 |
Second Address | Monroe, LA 71201-5782 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2010 |
Last Update Date | 07/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2103580 | (05) | LA |