Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 83263 | GA |
N | 111NI0900X | Internist | 83263 | GA |
Y | 207RG0300X | Geriatric Medicine | 83263 | GA |
NPI | 1013304088 |
---|---|
Provider Name | Maulikumar Arvindbhai Patel |
First Address | Savannah, GA 31404-5502 |
Second Address | Savannah, GA 31404-6220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2015 |
Last Update Date | 04/01/2022 |