NPI | 1225886013 |
---|---|
Other Name | KHYATI PATEL MD |
Entity Type | Organization |
Authorized Contact | DEEPAN SHAILESH DALAL Owner/Manager 617-638-7460 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-05-08 |