Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 2901023201 | MI |
NPI | 1740848944 |
---|---|
Provider Name | Dr. Falguni Patel |
First Address | Columbus, GA 31909-2568 |
Second Address | Kalamazoo, MI 49001-6144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2019 |
Last Update Date | 03/06/2019 |