Individual provider · Type 1 NPI

Anilkumar Ambalal Patel, CERTIFIED SURGICAL A

Surgical Physician Assistant · Covington, LA

NPI number 1811047020 Active

Practice location

1075 Hwy 190 E Service Road, Suite 200
Covington, LA 70433

Fax (985) 234-3002

Mailing address

410 Westwood Drive
Mandeville, LA 70471

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X874 (LA)

Surgical Physician Assistant: Definition to come...

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About NPI 1811047020

Anilkumar Ambalal Patel, CERTIFIED SURGICAL A's National Provider Identifier is 1811047020, issued on Jan 11, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Covington, LA. The record was last updated on Jul 8, 2007.