Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 39645 | KY |
NPI | 1043322175 |
---|---|
Provider Name | Mrs. Ushma Patel |
First Address | Ashland, KY 41105-1378 |
Second Address | Ashland, KY 41101-2845 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 23/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64109796 | (05) | KY |
I38593 | (02) |