Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 65873 | GA |
Y | 207RN0300X | Nephrologist | MD0000044317 | TN |
NPI | 1033230446 |
---|---|
Provider Name | Dr. Vikul Vinodbhai Patel |
First Address | Chattanooga, TN 37404-2700 |
Second Address | Chattanooga, TN 37404-2739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 08/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1513317 | (05) | TN |