Individual
DR. SHIVAM PATEL
Active
Individual
DR. SHIVAM PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C7-0003758
DE
2085B0100X
Body Imaging Physician
MD444564
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD444564
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7-0003758
DE ACGME TRAINING LICENCE
DE
Enumeration date
06/01/2007
Last updated
08/19/2020
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