Individual
SAMIR VITTHALBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1120 LEXINGTON AVE, FORT SMITH, AR 72901-5136
(479) 709-7260
Mailing address
1120 LEXINGTON AVE, FORT SMITH, AR 72901-5136
(479) 709-7260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39696
OK
207R00000X
Internal Medicine Physician
Primary
E-9994
AR
208M00000X
Hospitalist Physician
39696
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2013
Last updated
07/16/2024
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