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Individual
SHODHAN PATEL
Active
Individual
SHODHAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA06665200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0468023000
KEYSTONE
—
05
—
7442408
—
NJ
01
—
MI000053103
AMERICHOICE
—
01
—
P2552484
OXFORD
—
Enumeration date
08/01/2006
Last updated
12/11/2020
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