Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD 019236 E | PA |
NPI | 1003847518 |
---|---|
Provider Name | Dr. Natu R Patel |
First Address | Audubon, PA 19403-2200 |
Second Address | Audubon, PA 19403-2255 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 09/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F06942 | (02) |