Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A36836 | CA |
N | 111NI0900X | Internist | A36836 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A36836 | CA |
N | 207RG0300X | Geriatric Medicine | A36836 | CA |
NPI | 1073595278 |
---|---|
Provider Name | Mr. Dushyant N Patel |
First Address | San Jose, CA 95116-1909 |
Second Address | San Jose, CA 95116-1909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A368360 | (05) | CA |
1546447 | CIGNA (01) | |
4050359 | AETNA (01) | |
A88397 | (02) |