Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 042782 | CT |
Y | 2080P0208X | Pediatric Infectious Diseases | 042782 | CT |
NPI | 1538131123 |
---|---|
Provider Name | Sheral Patel |
First Address | Silver Spring, MD 20993-0002 |
Second Address | Irving, TX 75039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 24/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001427823 | (05) | CT |
H36168 | (02) |