Individual
HETA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Mailing address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359878
—
OH
Enumeration date
04/25/2018
Last updated
08/15/2019
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