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Individual
PIUSHKUMAR J PATEL
Active
Individual
PIUSHKUMAR J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036108301
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036108301
STATE LICENSE
IL
05
—
036108301
—
IL
Enumeration date
06/09/2005
Last updated
10/19/2018
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