Individual
DR. DAKSHESH SHANTILAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5001 US HIGHWAY 30 W STE D, FORT WAYNE, IN 46818-9701
(260) 432-1568
(260) 432-4969
Mailing address
PO BOX 80070, FORT WAYNE, IN 46898-0070
(260) 432-1568
(260) 432-4969
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01050565A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134190275
—
MI
05
—
200219510
—
IN
05
—
2102843
—
OH
Enumeration date
01/27/2006
Last updated
01/07/2025
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