Individual
SURENDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186-1306
(262) 875-5070
(866) 384-9486
Mailing address
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186-1306
(262) 875-5070
(866) 384-9486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125056488
IL
207R00000X
Internal Medicine Physician
Primary
56944
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265748404
—
WI
Enumeration date
08/25/2010
Last updated
11/04/2024
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