Patel, Shrena
Patel, Shrena is an individual health care provider with primary practice located at 295 Chipeta Way , Salt Lake City UT 84108-1287. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Patel, Shrena can be contacted via phone (801) 581-7052.Contact Information
Primary practice address
295 Chipeta Way
Salt Lake City UT 84108-1287
Phone: (801) 581-7052
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 6246246-1205 | Utah |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 066881 | Georgia |
Profile Details
| NPI number | 1811164031 |
|---|---|
| LBN Legal business name | Patel, Shrena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2008 |
| Last updated | Apr 10th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811164031 | NPPES |
| Georgia | MEDICAID | 003116750A | |
| Georgia | Other | 3409438 | |
| Georgia | Other | 12001050 | |
| Georgia | Other | 0833146 | |
| Georgia | Other | 01470758 | |
| Georgia | Other | 650683 |
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