Individual
DR. MALKAN G PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Contact information
Practice address
1550 BISHOP CT, MT PROSPECT, IL 60056-6039
(954) 644-0284
(866) 567-9335
Mailing address
1550 BISHOP CT, MT PROSPECT, IL 60056-6039
(954) 644-0284
(866) 567-9335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS10455
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036121661
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000389900
—
FL
01
—
BF911Z
PTAN
FL
Enumeration date
08/06/2008
Last updated
10/20/2016
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