Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | T2878 | MS |
N | 111NI0900X | Internist | T2878 | MS |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | E12843 | AR |
NPI | 1760898373 |
---|---|
Provider Name | Kruti P Patel |
First Address | Corinth, MS 38834-9321 |
Second Address | Little Rock, AR 72205-6202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2014 |
Last Update Date | 02/07/2021 |