Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | ME119949 | FL |
NPI | 1336392547 |
---|---|
Provider Name | Dr. Nisha S Patel |
First Address | Tampa, FL 33609-4044 |
Second Address | Tampa, FL 33609-4044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2008 |
Last Update Date | 07/05/2018 |