Organization
MAANYA LLC
Active
Other names
Trigg County Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARSHUL PATEL M.D. (MEMBER)
(212) 844-9916
Entity
Organization
Contact information
Practice address
116 MAIN ST, CADIZ, KY 42211-9163
(270) 350-4504
Mailing address
116 MAIN ST, CADIZ, KY 42211-9163
(270) 350-4504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44458
KY
207R00000X
Internal Medicine Physician
42143
KY
Other
Enumeration date
08/04/2015
Last updated
12/27/2022
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