Individual
MITULKUMAR P PATEL
Active
Individual
MITULKUMAR P PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10855
NV
207R00000X
Internal Medicine Physician
G74858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507193
—
NV
01
—
10855
MEDICAL LICENSE
NV
01
—
CS12512
PHARMACY/CONTROLLED SUBSTANCE CERTIFICATE
NV
Enumeration date
09/20/2005
Last updated
03/07/2023
Update your record
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