Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D0069160 | MD |
NPI | 1053580373 |
---|---|
Provider Name | Dr. Yatin R. Patel |
First Address | Westminster, MD 21157-6664 |
Second Address | Westminster, MD 21157-6664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2008 |
Last Update Date | 17/01/2013 |