Individual
DEEPAK PATHE VIVEK
Active
Individual
DEEPAK PATHE VIVEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME92930
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME92930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273529600
—
FL
01
—
ME92930
MEDICAL LICENSE
FL
01
—
P00237221
RAILROAD MEDICARE
—
Enumeration date
08/23/2005
Last updated
11/11/2016
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