Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A112534 | CA |
Y | 111NI0900X | Internist | A112534 | CA |
NPI | 1003136813 |
---|---|
Provider Name | Dr. Nemish S. Patel |
First Address | Covina, CA 91723-2943 |
Second Address | Covina, CA 91723-2943 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2010 |
Last Update Date | 29/11/2021 |