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Individual

REISHA SANJAY PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
(317) 415-7921
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01070221A
IN
208000000X
Pediatrics Physician
125054310
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01070221A
IN

Other

Enumeration date
07/02/2008
Last updated
11/06/2017
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