Individual
KANAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1944 CORLIES AVE., SUITE 101, NEPTUNE, NJ 07753
(732) 775-8444
(732) 775-8550
Mailing address
6314 N QUEENSWAY DR, TEMPLE TERRACE, FL 33617-2416
(813) 464-4715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2019
Last updated
01/24/2022
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