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Individual

NAREN M PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7972 W JEFFERSON BLVD, SUITE A, FORT WAYNE, IN 46804-4140
(260) 459-1780
(260) 459-2779
Mailing address
7972 W JEFFERSON BLVD, SUITE A, FORT WAYNE, IN 46804-4140
(260) 459-1780
(260) 459-2779

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029039
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100337700
IN
Enumeration date
12/28/2005
Last updated
06/21/2016
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