Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP1-0037463 | TX |
N | 111NI0900X | Internist | BP1-0037463 | TX |
N | 207RH0003X | Hematology & Oncology | P7689 | TX |
Y | 207RX0202X | Medical Oncology | P7689 | TX |
NPI | 1093034506 |
---|---|
Provider Name | Dr. Shrestha Dilipbhai Patel |
First Address | Dallas, TX 75391-1230 |
Second Address | Amarillo, TX 79106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 30/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1093034506 | (05) | TX |