Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD473735 | PA |
NPI | 1144765074 |
---|---|
Provider Name | Vima M Patel |
First Address | Blue Bell, PA 19422-2332 |
Second Address | Blue Bell, PA 19422-2332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2017 |
Last Update Date | 10/08/2021 |