Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A132079 | CA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A132079 | CA |
NPI | 1164777355 |
---|---|
Provider Name | Dr. Purvi M Patel |
First Address | Rancho Cucamonga, CA 91739-2246 |
Second Address | Glen Cove, NY 11542-2254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2012 |
Last Update Date | 30/11/2021 |