Individual
MRS. LATA RAVINDRA PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
208 PIERSON AVENUE, CENTREVILLE, AL 35042
(205) 926-4694
Mailing address
208 PIERSON AVENUE, CENTREVILLE, AL 35042-2028
(205) 926-3292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00011233
AL
Other
Enumeration date
07/04/2006
Last updated
02/25/2015
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