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Contact Information

ROSHAN S PATEL, MD
98 POPLAR ST
BLACKFOOT, ID83221-1758
 Phone: 208-782-2478
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ROSHAN S PATEL · (Male)

NPI Number 1871758177
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2008
Last updated 05/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-11088
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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