Individual
KAJAL B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3156 WILLOWCREEK RD, PORTAGE, IN 46368-4424
(219) 762-9444
(219) 762-2288
Mailing address
6107 S DUNE HARBOR DR, PORTAGE, IN 46368-6421
(847) 414-1605
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71011350A
IN
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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