Individual
NITI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
274 CLEAR SKY CT, CLARKSVILLE, TN 37043-5653
(601) 808-0051
Mailing address
13013 LAPOYNOR ST, MANOR, TX 78653-2591
(601) 808-0051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
04/12/2024
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