Individual
VIKAS PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 W PARK ST, CARLE FORUM LL, URBANA, IL 61801-2500
(217) 383-3110
Mailing address
611 W PARK ST, CARLE FORUM LL, URBANA, IL 61801-2500
(217) 383-3110
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
145856
CA
Other
Enumeration date
06/27/2013
Last updated
07/18/2017
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