Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | R1102 | TX |
NPI | 1003226531 |
---|---|
Provider Name | Saurabh Patel |
First Address | Durant, OK 74701-7117 |
Second Address | Durant, OK 74701-7117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2014 |
Last Update Date | 18/03/2021 |