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Individual
LISA RAJENDRA PATEL
Active
Individual
LISA RAJENDRA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC100
KY
363AM0700X
Medical Physician Assistant
TC100
KY
363AS0400X
Surgical Physician Assistant
TC100
KY
Other
Enumeration date
07/22/2026
Last updated
09/14/2026
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