Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | A82356 | CA |
NPI | 1235217720 |
---|---|
Provider Name | Purvi R. Patel |
First Address | Burbank, CA 91504-4350 |
Second Address | Burbank, CA 91504-4350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 19/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H92691 | (02) |