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Individual

SHITAL K PATEL

Active
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Individual

SHITAL K PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3471
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
471425
AZ
01
86080015085259A983
TRIWEST
AZ
01
P00254569
RAILROAD MEDICARE
AZ
Enumeration date
12/02/2005
Last updated
10/30/2007
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