Provider Demographics
NPI:1710196746
Name:PATEL, NATVARLAL P (MD)
Entity Type:Individual
Prefix:
First Name:NATVARLAL
Middle Name:P
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N 37TH ST BLDG 1
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-3283
Mailing Address - Country:US
Mailing Address - Phone:402-379-8080
Mailing Address - Fax:402-379-1021
Practice Address - Street 1:110 N 37TH ST BLDG 1
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3283
Practice Address - Country:US
Practice Address - Phone:402-379-8080
Practice Address - Fax:402-379-1021
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE15090208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE31522OtherBLUE CROSS BLUE SHIELD NE
NE47080306500Medicaid
NE31522OtherBLUE CROSS BLUE SHIELD NE