Individual
PURVI SHANKARBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47034
CO
207R00000X
Internal Medicine Physician
MD60223715
WA
208D00000X
General Practice Physician
4301086285
MI
208M00000X
Hospitalist Physician
Primary
MD60223715
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014772
—
WA
05
—
99359073
—
CO
Enumeration date
05/23/2007
Last updated
10/11/2023
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