Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | A107954 | CA |
Y | 208800000X | Urologist | MD451553 | PA |
NPI | 1033345160 |
---|---|
Provider Name | Dr. Mukul B Patil |
First Address | Wexford, PA 15090 |
Second Address | Uniontown, PA 15401-2658 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2009 |
Last Update Date | 27/12/2019 |