Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 2244 | NC |
NPI | 1013285659 |
---|---|
Provider Name | Dr. Niyati Patel |
First Address | Greensboro, NC 27408-7014 |
Second Address | Greensboro, NC 27408-7014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2011 |
Last Update Date | 26/09/2012 |