Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 35079906 | OH |
N | 207RA0401X | Internist - Addiction Medicine | 36991 | KY |
N | 207V00000X | Obstetrician & Gynecologist | 35079906P | OH |
N | 207V00000X | Obstetrician & Gynecologist | 36991 | KY |
NPI | 1245233345 |
---|---|
Provider Name | Dr. Parag J Patel |
First Address | Cincinnati, OH 45206-2348 |
Second Address | Cincinnati, OH 45206-2348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 09/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2410555 | (05) | OH |
64067465 | (05) | KY |
H96843 | (02) | KY |