Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301108331 | MI |
Y | 207VX0000X | Obstetrician | DR.0062298 | CO |
NPI | 1376926725 |
---|---|
Provider Name | Dr. Kruti Shivlal Patel |
First Address | Denver, CO 80256-0825 |
Second Address | Pueblo, CO 81003-2760 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2015 |
Last Update Date | 01/07/2019 |