Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 8291234-1205 | UT |
NPI | 1023276490 |
---|---|
Provider Name | Shiven Patel |
First Address | Salt Lake City, UT 84112-5550 |
Second Address | Salt Lake City, UT 84112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2008 |
Last Update Date | 11/11/2021 |