Provider Demographics
NPI:1265250773
Name:PATEL, DHVANI JIGNESHKUMAR
Entity type:Individual
Prefix:
First Name:DHVANI
Middle Name:JIGNESHKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7221 SE MIDDLE WAY
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-1643
Mailing Address - Country:US
Mailing Address - Phone:360-771-9843
Mailing Address - Fax:
Practice Address - Street 1:7221 SE MIDDLE WAY
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-1643
Practice Address - Country:US
Practice Address - Phone:360-771-9843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program