Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | D0043071 | MD |
NPI | 1285606194 |
---|---|
Provider Name | Dr. Mayur Mahendrabhai Patel |
First Address | Baltimore, MD 21244-2710 |
Second Address | Owings Mills, MD 21117-5441 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 30/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2849 | B/C B/S (01) | DC |
759521200 | (05) | MD |
E24140 | (02) | MD |
J062 | B/C B/S (01) | MD |
KA80 | B/C B/S (01) | MD |