Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2013-00801 | NC |
N | 111NI0900X | Internist | 2013-00801 | NC |
N | 207R00000X | Internist | MD40240 | SC |
N | 111NI0900X | Internist | MD40240 | SC |
Y | 207RH0002X | Hospice and Palliative Medicine | 83212 | GA |
NPI | 1033434378 |
---|---|
Provider Name | Varsha Nirav Patel |
First Address | Charleston, SC 29425 |
Second Address | Canton, GA 30115-8015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2010 |
Last Update Date | 07/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033434378 | (05) | NC |
NC1989 | (05) | SC |