Basic Information
| Provider Information | |||||||||
| NPI: | 1265014633 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | VIVEK | ||||||||
| MiddleName: | NAIMISH | ||||||||
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| Mailing Information | |||||||||
| Address1: | UNIVERSITY OF COLORADO INTERNAL MEDICINE RESIDENCY PROG | ||||||||
| Address2: | 12631 EAST 17TH PLACE, MAILSTOP B177 | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037241784 | ||||||||
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| Address1: | UNIVERSITY OF COLORADO INTERNAL MEDICINE RESIDENCY PROG | ||||||||
| Address2: | 12631 EAST 17TH PLACE | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037241784 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2021 | ||||||||
| LastUpdateDate: | 04/26/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | TL.0008611 | CO | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.