Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 62431 | AZ |
Y | 111NI0900X | Internist | 62431 | AZ |
N | 207RC0000X | Internist - Cardiovascular Disease | 62431 | AZ |
NPI | 1013302306 |
---|---|
Provider Name | Kinjan P Patel |
First Address | Tucson, AZ 85747-9415 |
Second Address | Tucson, AZ 85747-9415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2015 |
Last Update Date | 04/10/2021 |