Doctor Name: | MS. MAULIBEN PATEL |
NPI Number: | 1184889404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A |
License Number: | 085.003187 |
Business Practice Address: | 2606 Elisha Ave Zion, IL - 600992608 |
Business Phone Number: | 8478724558 |
Business Fax Number: | 8478722042 |
Mailing Address: | 2606 Elisha Ave, ZION |
State: | IL |
Postal Code: | 600992608 |
Phone Number: | 8478724558 |
Fax Number: | 8478722042 |
NPI Enumeration Date: | 07/25/2008 |
NPI Last Update Date: | 07/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 085.003187 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |