Patel, Amita N

Patel, Amita N is an sole proprietor health care provider with primary practice located at 1502 S Colorado St , Greenville MS 38703-7219. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Patel, Amita N can be contacted via phone (662) 334-6448.

Contact Information

Primary practice address
1502 S Colorado St Greenville MS 38703-7219
Phone: (662) 334-6448
Fax: (662) 334-6461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 14324 Mississippi

Profile Details

NPI number 1417149253
LBN Legal business name Patel, Amita N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2007
Last updated Feb 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417149253 NPPES
Mississippi MEDICAID 00121838
Mississippi MEDICAID 133861001
Mississippi Other 53529

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