Individual
NISHA BHARAT PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
EDWARDS MEDICAL PLAZA SUITE 320, 1300 NORTH 12TH STREET, PHOENIX, AZ 85006
(602) 521-3617
Mailing address
123 S SPRINGINSGUTH RD, SCHAUMBURG, IL 60193-1270
(847) 715-8542
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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