Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 166364 | AK |
NPI | 1124314315 |
---|---|
Provider Name | Dr. Priya Patel |
First Address | Anchorage, AK 99508-5300 |
Second Address | Anchorage, AK 99508-5300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2011 |
Last Update Date | 16/02/2021 |