Individual
KHUSHBOO JIGNESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 937-6120
Mailing address
1508 19TH AVE, APT # D, ALTOONA, PA 16601-2738
(516) 652-2981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD443091
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026161030001
—
PA
Enumeration date
12/30/2010
Last updated
10/19/2011
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