Individual
MS. AMRITA DE PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 NAVARRE PL STE 6600, SOUTH BEND, IN 46601-1173
(574) 647-8800
(574) 647-8896
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01072326A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201114580
—
IN
Enumeration date
05/27/2009
Last updated
04/28/2023
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