SHASTA PATEL

COLUMBIA, MD
NPI1306407200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R151007)
Enumeration Date2019-06-22
Last Update Date2019-06-22
Business Address
Ms. SHASTA PATEL CRNP
8900 COLUMBIA 100 PKWY STE G
COLUMBIA, MD 21045-2336
Phone number: 410-740-9001
Mailing Address
Ms. SHASTA PATEL CRNP
PO BOX 434
LISBON, MD 21765-0434
Phone number: 410-274-1401