Individual
GHANSHYAM R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-1000
Mailing address
5970 CHURCHVIEW DR, ROCKFORD, IL 61107-2574
(815) 971-8990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036170622
IL
207R00000X
Internal Medicine Physician
85387-20
WI
208M00000X
Hospitalist Physician
Primary
036170622
IL
Other
Enumeration date
03/24/2022
Last updated
02/09/2026
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