# MRS. SONAL VITHAL PATEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720029929
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 085-002512 | IL | Yes |
| 363AS0400X | Surgical Physician Assistant | 10000812A | IN | — |
| 363AS0400X | Surgical Physician Assistant | 2695-023 | WI | — |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 01/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01618941 | BLUECROSS/BLUESHIELD | IL |
| 01 | — | 206147 | MEDICARE PTAN (GROUP) | IL |
| 01 | — | 206147083 | MEDICARE PTAN (INDIVIDUAL) | IL |