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NPI Code Detail

MEDICARE: SAJANI PATEL NP

MEDICARE: SAJANI PATEL NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner33420TN

General Provider Information

NPI Number : 1174221899
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAJANI PATEL NP
Provider Business Mailing Address
First Line : 562 W MAIN ST
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506-5382
Country : US
Telephone Number : 931-854-9601
Fax Number : 931-854-9605
Provider Business Practice Location Address
First Line : 562 W MAIN ST
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506-5382
Country : US
Telephone Number : 931-854-9601
Fax Number : 931-854-9605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2023
Last Update Date : 02/21/2023

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