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Individual
PRUTHUL PATEL
Active
Individual
PRUTHUL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A145267
CA
208000000X
Pediatrics Physician
A145267
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PP3232267556
—
CA
Enumeration date
06/22/2015
Last updated
02/21/2022
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