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Individual

DR. NISHANT ANILKUMAR PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.B.A.

Contact information

Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
60130
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111257118
MEDICARE PTAN
KS
05
201197940A
KS
05
9000159664
CO
01
KA3249109
MEDICARE PTAN
KS
01
NA1214134
MEDICARE PTAN
NE
01
NA1215135
MEDICARE PTAN
NE
01
NA2517111
MEDICARE PTAN
NE
Enumeration date
06/18/2012
Last updated
03/29/2024
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