Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 04-44768 | KS |
N | 207L00000X | Anesthesiologist | 94-09537 | KS |
NPI | 1013449446 |
---|---|
Provider Name | Priyanka Pankaj Patel |
First Address | Overland Park, KS 66210-2126 |
Second Address | Overland Park, KS 66209-3722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2017 |
Last Update Date | 29/06/2021 |