Individual
DR. SPANDAN VIDYUT PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6040 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5613
(702) 476-4900
(702) 476-4949
Mailing address
6040 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5613
(702) 476-4900
(702) 476-4949
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01086727A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
20474
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902247604
—
NV
01
—
20474
NV MEDICAL LICENSE
NV
Enumeration date
07/10/2013
Last updated
03/13/2023
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