Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | Q9874 | TX |
Y | 111NI0900X | Internist | Q9874 | TX |
N | 207RC0200X | Critical Care Medicine | 2012003492 | MO |
NPI | 1063742005 |
---|---|
Provider Name | Dr. Utkal Patel |
First Address | Mckinney, TX 75071-3352 |
Second Address | Denison, TX 75020-4584 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2010 |
Last Update Date | 14/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1063742005 | (05) | MO |