Individual
MAYANK RAJANIKANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-2504
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036116703
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036116703
LICENSE
IL
05
—
0361167031
—
IL
01
—
2006025324
LICENSE
MO
05
—
206651606
—
MO
05
—
281405600
—
FL
01
—
546190
MEDICARE GROUP
IL
Enumeration date
05/15/2006
Last updated
09/15/2025
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