Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 01056902A | IN |
NPI | 1003967290 |
---|---|
Provider Name | Paresh Ram Patel |
First Address | Kensington, MD 20895-4027 |
Second Address | Washington, DC 20307-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 24/11/2010 |