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NPI Code Detail

MEDICARE: DR. LATIKA DUSHYANT PATEL M.D.

MEDICARE: DR. LATIKA DUSHYANT PATEL M.D.
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
1174400000XSpecialist33730NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629030788
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LATIKA DUSHYANT PATEL M.D.
Provider Business Mailing Address
First Line : 1424 E FRANKLIN ST
Second Line :
City : MONROE
State : NC
Zip : 28112-5160
Country : US
Telephone Number : 704-289-2944
Fax Number : 704-283-2918
Provider Business Practice Location Address
First Line : 1424 E FRANKLIN ST
Second Line :
City : MONROE
State : NC
Zip : 28112-5160
Country : US
Telephone Number : 704-289-2944
Fax Number : 704-283-2918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 04/11/2016

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