Individual
DR. RISHI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(818) 743-3637
Mailing address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(818) 743-3637
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19414
PR
Other
Enumeration date
08/13/2015
Last updated
03/07/2017
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