Individual
ANISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 S WASHINGTON AVE, GREENVILLE, MS 38701-4719
(662) 725-1384
Mailing address
300 S WASHINGTON AVE, GREENVILLE, MS 38701-4719
(662) 725-6261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PATE-FLJJMX
MS
Other
Enumeration date
05/07/2021
Last updated
07/01/2021
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