Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 21927 | WV |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 21927 | WV |
NPI | 1316057623 |
---|---|
Provider Name | Rajesh V Patel |
First Address | Beckley, WV 25801-6729 |
Second Address | Beckley, WV 25801-6729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 26/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001762266 | BCBS (01) | WV |
3810002953 | (05) | WV |
I36858 | (02) |