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Individual

MILAN VRAJESH PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
PA2510
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA2510
NV MEDICAL LICENSE
NV
Enumeration date
08/19/2021
Last updated
11/04/2021
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