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Individual
SAMIR PATEL
Active
Individual
SAMIR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA07446700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25321
—
NJ
01
—
25512
UNIVERSITY HEALTH PLAN
—
01
—
60001670
HORIZON NJ HEALTH
—
Enumeration date
09/20/2006
Last updated
03/09/2017
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