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Individual

ASHIT GAJENDRA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
777 COMMERCIAL ST SE, SUITE 103, SALEM, OR 97301-3421
(503) 485-4787
(503) 485-4789
Mailing address
777 COMMERCIAL ST SE, SUITE 103, SALEM, OR 97301-3421
(503) 485-4787
(503) 485-4789

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD27631
OR
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD27631
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218439
OR
Enumeration date
04/23/2007
Last updated
06/07/2011
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