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NPI Code Detail

MEDICARE: SIMA PATEL PA-C

MEDICARE: SIMA PATEL PA-C
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
1363A00000XPhysician AssistantPA00238RI

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 : 1831188374
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMA PATEL PA-C
Provider Business Mailing Address
First Line : 44 W RIVER ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02904-2609
Country : US
Telephone Number : 401-274-4800
Fax Number : 401-454-0410
Provider Business Practice Location Address
First Line : 44 W RIVER ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02904-2609
Country : US
Telephone Number : 401-274-4800
Fax Number : 401-454-0410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/11/2007

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Directions to “ SIMA PATEL PA-C” Practice Location

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