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Individual
SUPEN R PATEL
Active
Individual
SUPEN R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
19744
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660002624
RAILROAD MEDICARE
SC
05
—
89063RJ
—
NC
05
—
T37467
—
SC
Enumeration date
06/12/2006
Last updated
01/02/2019
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