Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD452148 | PA |
Y | 111NI0900X | Internist | MD452148 | PA |
NPI | 1003194515 |
---|---|
Provider Name | Vishal N Patel |
First Address | Monroeville, PA 15146-4771 |
Second Address | Monroeville, PA 15146-2760 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2011 |
Last Update Date | 20/11/2018 |