Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 200400718 | NC |
NPI | 1013020775 |
---|---|
Provider Name | Dr. Ruchi Patel Moore |
First Address | Asheville, NC 28801-4820 |
Second Address | Asheville, NC 28801-4820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 06/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
143C8 | BCBS (01) | NC |
200400718 | LICENSE (01) | NC |
5904678 | (05) | NC |
I66967 | (02) |