Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 5739 | NC |
NPI | 1023075231 |
---|---|
Provider Name | Dr. Minaxi I Patel |
First Address | Apo, AE 09244 |
Second Address | Apo, AE 09244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 20/09/2016 |