Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD450888 | PA |
NPI | 1033483755 |
---|---|
Provider Name | Ruchika Patel |
First Address | Philadelphia, PA 19178-8735 |
Second Address | Phila, PA 19141-3018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2012 |
Last Update Date | 06/01/2015 |