Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 19197 | AL |
NPI | 1023099587 |
---|---|
Provider Name | Dr. Rohit G Patel |
First Address | Anniston, AL 36202-1890 |
Second Address | Anniston, AL 36207-4762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 27/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000076667 | (05) | AL |
200031053 | PGBA RAILROAD MEDICARE (01) | AL |
4810112 | UNITED HEALTHCARE (01) | AL |
51076667PAT | BLUE CROSS (01) | AL |
F49100 | (02) | AL |