| Doctor Name: | NATHAN TUSHAR PATEL |
| NPI Number: | 1033420419 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 16488 |
| Business Practice Address: | 3601 Sw 160th Ave Suite 250 Miramar, FL - 330276308 |
| Business Phone Number: | 8778667123 |
| Business Fax Number: | |
| Mailing Address: | 2495 Shreveport Hwy, PINEVILLE |
| State: | LA |
| Postal Code: | 713604044 |
| Phone Number: | 7744515255 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2010 |
| NPI Last Update Date: | 10/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16488 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |