Individual
MRS. HETAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA057382
PA
363AS0400X
Surgical Physician Assistant
Primary
008054
GA
363AS0400X
Surgical Physician Assistant
—
IL
Other
Enumeration date
07/18/2012
Last updated
11/06/2019
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