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Individual
MRS. VANDANA PATEL
Active
Individual
MRS. VANDANA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CZ091Z
MEDICARE PTAN
FL
01
—
PA9104643
MEDICAL LICENSE
FL
Enumeration date
04/16/2010
Last updated
01/20/2020
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