Individual
DR. DIPAKKUMAR SHANTILAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11312 OLD RIVER TRL, EDMOND, OK 73013-8338
(405) 796-7234
Mailing address
11312 OLD RIVER TRL, EDMOND, OK 73013-8338
(405) 796-7234
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24244
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001261817
—
CT
Enumeration date
05/03/2006
Last updated
02/22/2017
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