Basic Information
Provider Information
NPI: 1265846356
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATEL
FirstName: NIRALI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ANESTHESIOLOGIST ASS
OtherOrganizationName:  
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Mailing Information
Address1: 1150 VARNUM ST NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200172180
CountryCode: US
TelephoneNumber: 2028544812
FaxNumber: 2028547825
Practice Location
Address1: 1150 VARNUM ST NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 20017
CountryCode: US
TelephoneNumber: 2028544041
FaxNumber: 2028544034
Other Information
ProviderEnumerationDate: 06/17/2014
LastUpdateDate: 07/02/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XAA000074DCN Allopathic & Osteopathic PhysiciansAnesthesiology 
367H00000XAA000074DCY Physician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant 

No ID Information.


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