Individual
DIMPLEBEN VIKALP PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4735 ROBINSON LOOP W, OLIVE BRANCH, MS 38654-8175
(662) 910-9029
Mailing address
4735 ROBINSON LOOP W, OLIVE BRANCH, MS 38654-8175
(662) 910-9029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904000
MS
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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