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Individual

SAMIR K. PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810-1685
(225) 769-2200
(225) 768-2185
Mailing address
PO BOX 98509, BATON ROUGE, LA 70884-9509
(225) 769-2200
(225) 768-2185

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29506
AL
207L00000X
Anesthesiology Physician
MD.201366
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD.201366
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01577704
MS
05
1090506
LA
05
110385
AL
05
110387
AL
05
110388
AL
05
114344
AL
01
51100183
BCBS
AL
01
51598275
BCBS
AL
01
51598276
BCBS
AL
01
51598277
BCBS
AL
01
P00761079
RAILROAD MEDICARE
AL
Enumeration date
01/02/2008
Last updated
01/15/2013
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