Purvisha J Patel, MD
Dermatology in Germantown, TN. Individual provider (NPI-1).
NPI number1174637433
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1174637433
- Entity type
- Individual (NPI-1)
- Name
- Purvisha J Patel
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2006
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 41853 | TN | Yes |
| 207N00000X | Dermatology | 19882 | MS | |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 41853 | TN | |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 19882 | MS |
Practice location
7658 Poplar PikeGermantown, TN 38138-5941
Phone 901-759-2322 · Fax 901-759-2077
Mailing address
7658 Poplar PikeGermantown, TN 38138
Phone 901-759-2322 · Fax 901-759-2077
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