# PATEL FAMILYMEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNITED SURGEONS LLC
- **Other names:** PLYMOUTH FAMILY MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417265349
- **Legal business name:** UNITED SURGEONS LLC
- **Authorized official:** VIRAJ PATEL M.D. (PHYSICIAN)
- **Authorized official phone:** (574) 936-3178

## Contact information

- **Practice address:** 1625 JEFFERSON AVE, MISHAWAKA, IN 46545
- **Practice address phone:** (574) 255-1400
- **Practice address fax:** (574) 485-1781
- **Mailing address:** 1904 LAKE AVE, PLYMOUTH, IN 46563-7828
- **Mailing address phone:** (574) 936-3178
- **Mailing address fax:** (574) 936-1084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01063921A | IN | Yes |

## Other

- **Enumeration date:** 09/14/2010
- **Last updated:** 09/14/2010