Individual
MRS. ARCHNABEN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3399 GLENNAN ST, WAHIAWA, HI 96786
(800) 433-6661
Mailing address
1177 QUEEN ST APT 2606, HONOLULU, HI 96814-4146
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AMD-863
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMD-863
PHYSICIAN ASSISTANT LICENSE NUMBER
HI
Enumeration date
09/04/2018
Last updated
09/04/2018
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