Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 29324 | AZ |
N | 207T00000X | Neurosurgeon | 70638 | CA |
NPI | 1023093218 |
---|---|
Provider Name | Dr. Naresh P Patel |
First Address | Phoenix, AZ 85054-4502 |
Second Address | Phoenix, AZ 85054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 08/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H34729 | (02) |