Individual
GAURAVKUMAR SURESHBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 SHARON RD, BEAVER, PA 15009-1919
(724) 773-4502
Mailing address
605 SHARON RD, BEAVER, PA 15009-1919
(724) 773-4502
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
39864
SC
207RC0000X
Cardiovascular Disease Physician
MD441762
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD441762
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025710660003
—
PA
05
—
398643
—
SC
Enumeration date
01/11/2011
Last updated
02/21/2020
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