Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 08002231A | IN |
N | 111N00000X | Chiropractor | 5051 | KY |
N | 207RA0401X | Internist - Addiction Medicine | 08002231A | IN |
NPI | 1467404772 |
---|---|
Provider Name | Sanjay N Patel |
First Address | Charlestown, IN 47111-9535 |
Second Address | Jeffersonville, IN 47130-6016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 08/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200882760 | (05) | IN |
7100014780 | (05) | KY |
P00422957 | RAILROAD MEDICARE (01) | |
U88823 | (02) |