Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 73556 | WI |
N | 204F00000X | Transplant Surgeon | A155341 | CA |
N | 208200000X | Surgeon | MT202479 | PA |
N | 208600000X | Surgeon | MT202479 | PA |
NPI | 1578827820 |
---|---|
Provider Name | Dr. Priyal Patel |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2012 |
Last Update Date | 21/08/2020 |