Individual
DR. NITIN C PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CLUB VILLAGE DR, STE 102, COLUMBIA, MO 65203-4411
(573) 447-4400
(573) 303-0140
Mailing address
1100 CLUB VILLAGE DR, STE 102, COLUMBIA, MO 65203-4411
(573) 447-4400
(573) 303-0140
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD113716
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
036-135269
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208870808
—
MO
01
—
370009866
RR MEDICARE
MO
Enumeration date
06/01/2006
Last updated
01/29/2021
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