Individual
PRADIP DIWAKAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3666 S 4TH ST, TERRE HAUTE, IN 47802-5543
(812) 238-8880
(812) 478-5384
Mailing address
3666 S 4TH ST, TERRE HAUTE, IN 47802-5543
(812) 238-8880
(812) 478-5384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01042706
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100473110
—
IN
Enumeration date
12/14/2005
Last updated
07/09/2007
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