Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 0101245927 | VA |
NPI | 1033324470 |
---|---|
Provider Name | Dr. Lopa Patel Hartke |
First Address | Cleveland, OH 44106-1716 |
Second Address | Norfolk, VA 23507-1910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 02/06/2020 |