Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 65608 | MN |
Y | 2080P0203X | Pediatric Critical Care Doctor | 65608 | MN |
NPI | 1184062663 |
---|---|
Provider Name | Nital Patel |
First Address | Minneapolis, MN 55404-4387 |
Second Address | Minneapolis, MN 55404-4387 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2013 |
Last Update Date | 29/08/2019 |