Individual
DR. MITAL SUMANKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. (ORTHOPAEDICS)
Contact information
Practice address
105 MILLS AVE STE 200, LAS VEGAS, NM 87701-4169
(505) 426-3795
(505) 425-2653
Mailing address
105 MILLS AVE STE 200, LAS VEGAS, NM 87701-4169
(505) 426-3795
(505) 425-2653
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
TR60434874
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891033957
—
WA
Enumeration date
01/24/2013
Last updated
03/08/2023
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