Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 01038645A | IN |
Y | 2084N0402X | Child Neurologist | 64675 | WI |
NPI | 1053335513 |
---|---|
Provider Name | Hema U Patel |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 20/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000087150 | ANTHEM (01) | IN |
100176270 | (05) | IN |
1053335513 | (05) | WI |