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Individual

DR. NEETIN C PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(618) 242-4600
Mailing address
PO BOX 2153, SAINT LOUIS, MO 63158-0153
(877) 465-0012
(303) 438-1351

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-084644
IL
2085R0202X
Diagnostic Radiology Physician
33015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036084644 1
IL
05
30624600
WI
Enumeration date
08/24/2006
Last updated
03/15/2021
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