Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | DS039577 | PA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 30025544 | OH |
NPI | 1073951695 |
---|---|
Provider Name | Dr. Riddhi Patel |
First Address | Cincinnati, OH 45263-0579 |
Second Address | Cincinnati, OH 45219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2013 |
Last Update Date | 14/08/2018 |