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Individual
SHITAL S PATEL
Active
Individual
SHITAL S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009-01204
NC
207R00000X
Internal Medicine Physician
200901204
NC
208000000X
Pediatrics Physician
200901204
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173192902
—
TX
01
—
P00395998
MEDICARE RAILROAD
TX
Enumeration date
06/28/2006
Last updated
12/19/2016
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