Individual
MISS DISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 WEST VINE STREET, DIGHTON, KS 67839
(620) 397-5231
Mailing address
1092 RED FERN CIR W, CORDOVA, TN 38018-6666
(901) 338-3653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3176
TN
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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