Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MT219119 | PA |
NPI | 1063876704 |
---|---|
Provider Name | Suraj Patel |
First Address | Pittsburgh, PA 15213-3410 |
Second Address | Pittsburgh, PA 15213-3403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2016 |
Last Update Date | 02/05/2021 |