Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | ET00308 | KS |
NPI | 1043743255 |
---|---|
Provider Name | Vandankumar Patel |
First Address | Somerset, NJ 08873-6903 |
Second Address | Somerset, NJ 08873-6903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2017 |
Last Update Date | 06/12/2021 |