Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 057736 | GA |
Y | 207RN0300X | Nephrologist | 41036 | TN |
NPI | 1043263205 |
---|---|
Provider Name | Nilesh Chiman Patel |
First Address | Chattanooga, TN 37404-2700 |
Second Address | Chattanooga, TN 37404-2739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 28/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3818237 | (05) | TN |