Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 01078071A | IN |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 01078071A | IN |
NPI | 1184914293 |
---|---|
Provider Name | Dr. Ruchin Patel |
First Address | Indianapolis, IN 46260-5350 |
Second Address | Carmel, IN 46032-3010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2011 |
Last Update Date | 18/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300005149 | (05) | IN |