Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | A30290 | CA |
NPI | 1134219660 |
---|---|
Provider Name | Dr. Hansa Patel |
First Address | Bakersfield, CA 93301 |
Second Address | Bakersfield, CA 93301-2208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A302900 | (05) | CA |
A26034 | (02) | CA |