Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 0102202941 | VA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 0102202941 | VA |
NPI | 1134357593 |
---|---|
Provider Name | Dr. Vaneesha Vallabh-Patel |
First Address | San Antonio, TX 78234-4504 |
Second Address | San Antonio, TX 78234-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 11/02/2020 |