Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 31119 | SC |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A98836 | CA |
Y | 207YS0123X | Facial Plastic Surgeon | 31119 | SC |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 31119 | SC |
NPI | 1215062153 |
---|---|
Provider Name | Dr. Krishna G Patel |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 08/06/2016 |