Individual
DR. AMITA N PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1502 S COLORADO ST, GREENVILLE, MS 38703-7219
(662) 334-6448
(662) 334-6461
Mailing address
1502 S COLORADO ST, GREENVILLE, MS 38703-7219
(662) 334-6448
(662) 334-6461
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
14324
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121838
—
MS
05
—
133861001
—
AR
01
—
53529
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/15/2007
Last updated
02/20/2015
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