Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MA09697900 | NJ |
N | 111NI0900X | Internist | 25MA09697900 | NJ |
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA09697900 | NJ |
N | 207RI0011X | Interventional Cardiology | 25MA09697900 | NJ |
NPI | 1023362787 |
---|---|
Provider Name | Keval V Patel |
First Address | Somerset, NJ 08873-3448 |
Second Address | Somerset, NJ 08873-3448 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2012 |
Last Update Date | 19/03/2019 |