Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | MD113716 | MO |
Y | 2084N0402X | Child Neurologist | 036-135269 | IL |
NPI | 1144267865 |
---|---|
Provider Name | Dr. Nitin C Patel |
First Address | Columbia, MO 65203-4411 |
Second Address | Columbia, MO 65203-4411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 29/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
208870808 | (05) | MO |
370009866 | RR MEDICARE (01) | MO |
661125 | (02) | |
G61125 | (02) |