Individual
NIKETU PANKAJ PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2345
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2345
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
060.0005764
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2019
Last updated
05/16/2024
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