Organization
PATEL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHYAYINI H PATEL (MD)
(740) 592-5918
Entity
Organization
Contact information
Practice address
530 W UNION ST, SUITEC, ATHENS, OH 45701-8303
(740) 592-5918
Mailing address
530 W UNION ST, SUITEC, ATHENS, OH 45701-8303
(740) 592-5918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
053955
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0676013
—
OH
Enumeration date
03/27/2008
Last updated
05/18/2011
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