Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 25MA07533000 | NJ |
Y | 111NI0900X | Internist | 25MA07533000 | NJ |
N | 207RG0300X | Geriatric Medicine | MA07533000 | NJ |
NPI | 1063469401 |
---|---|
Provider Name | Dr. Sameer Ramesh Patel |
First Address | Camden, NJ 08103-1088 |
Second Address | Pennsville, NJ 08070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 17/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2640458 | UNITED HEALTHCARE ID (01) | NJ |
2742326000 | AMERIHEALTH ID (01) | NJ |
376337 | AETNA ID (01) | NJ |
8146241 | CIGNA ID (01) | NJ |
H85813 | (02) | NJ |
P3719090 | OXFORD ID (01) | NJ |