Individual
JAVED FIROZ PATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2260 VISTA RD, FORT MILL, SC 29708-7800
(839) 400-2400
Mailing address
1750 HIGHWAY 160 W STE 101-239, FORT MILL, SC 29708-8009
(706) 294-9785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO83010
SC
207R00000X
Internal Medicine Physician
OS12967
FL
208M00000X
Hospitalist Physician
2020-00183
NC
Other
Enumeration date
06/13/2013
Last updated
01/06/2025
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