Individual
MRS. NILESHKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4131 W LOOMIS RD, STE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3770
Mailing address
4131 W LOOMIS RD, STE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME90441
FL
208VP0000X
Pain Medicine Physician
ME90441
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
39918
WI
208VP0014X
Interventional Pain Medicine Physician
ME90441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285740720
GROUP NPI
FL
01
—
50001
BCBS FL
FL
01
—
P00169335
RAILROAD MEDICARE
FL
Enumeration date
09/20/2006
Last updated
03/28/2016
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