Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | D0060617 | MD |
NPI | 1457323362 |
---|---|
Provider Name | Dr. Pavni Vinodray Patel |
First Address | Owings Mills, MD 21117-3617 |
Second Address | Owings Mills, MD 21117-5441 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2849 | B/C B/S (01) | DC |
H98653 | (02) | MD |
J062 | B/C B/S (01) | MD |
KA80 | B/C B/S (01) | MD |