Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 248013 | NY |
NPI | 1053488866 |
---|---|
Provider Name | Pragnesh M. Patel |
First Address | Pittsburg, CA 94565-5123 |
Second Address | Pittsburg, CA 94565-5123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 13/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A794170 | (05) | CA |
H77434 | (02) |