Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD452988 | PA |
N | 111NI0900X | Internist | MD452988 | PA |
N | 207R00000X | Internist | ME136078 | FL |
N | 111NI0900X | Internist | ME136078 | FL |
N | 208D00000X | General Practice Physician | ME136078 | FL |
NPI | 1033531546 |
---|---|
Provider Name | Dr. Rushin Nalin Patel |
First Address | Orlando, FL 32811-3719 |
Second Address | Orlando, FL 32801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2014 |
Last Update Date | 20/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12749461 | CAQH (01) |