Individual
AMISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9118 BLUEBONNET CENTRE BLVD, BATON ROUGE, LA 70809-2993
(225) 368-2300
(225) 368-2280
Mailing address
PO BOX 62600 DEPT 1744, NEW ORLEANS, LA 70162-0001
(225) 368-3200
(225) 368-2280
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200777
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2381121
—
LA
Enumeration date
11/04/2014
Last updated
04/16/2015
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