Individual
DR. NISHA B PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 DR. MICHAEL DEBAKEY DRIVE, SUITE 101, LAKE CHARLES, LA 70601-5700
(337) 439-0762
(337) 439-9253
Mailing address
555 DR. MICHAEL DEBAKEY DRIVE, SUITE 101, LAKE CHARLES, LA 70601-5700
(337) 439-0762
(337) 439-9253
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD.208021
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413309
—
LA
Enumeration date
12/04/2008
Last updated
06/03/2020
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