Individual
AMIT BALDEV PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.070467
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
100814
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245861
—
WI
Enumeration date
04/28/2017
Last updated
08/04/2023
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