Organization
NITIN C PATEL MD LLC
Active
Other names
Columbia Center for Child Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN C PATEL (M.D.)
(573) 442-0940
Entity
Organization
Contact information
Practice address
1100 CLUB VILLAGE DR STE 102, COLUMBIA, MO 65203-4411
(573) 447-4400
(573) 303-0140
Mailing address
1100 CLUB VILLAGE DR STE 102, COLUMBIA, MO 65203-4411
(573) 447-4400
(573) 303-0140
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
113716
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
113716
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208870808
—
MO
01
—
370009866
PR MEDICARE
—
Enumeration date
05/09/2013
Last updated
05/03/2016
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