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Individual

TARULATA M PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
50 NORMANDY DRIVE SUITE #3, LIBERTY MEDICAL CENTER, PAINESVILLE, OH 44077
(440) 953-3872
(440) 354-2721
Mailing address
50 NORMANDY DRIVE SUITE #3, LIBERTY MEDICAL CENTER, PAINESVILLE, OH 44077
(440) 953-3872
(440) 354-2721

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
39123
OH
2083X0100X
Occupational Medicine Physician
39123
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000128112
ANTHEM
Enumeration date
02/12/2007
Last updated
03/19/2008
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