Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 20A7495 | CA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 20A7495 | CA |
NPI | 1225000532 |
---|---|
Provider Name | Jigar D. Patel |
First Address | San Diego, CA 92103-2231 |
Second Address | San Diego, CA 92103-2231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 06/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H31535 | (02) | CA |