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Individual

ASHISH J PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7905 CALUMET AVE, MUNSTER, IN 46321-2549
(219) 836-5800
(219) 836-5030
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01069360A
IN
207Q00000X
Family Medicine Physician
Primary
01069360A
IN
207Q00000X
Family Medicine Physician
036120763
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01069360A
LICENSE
IN
05
036120763
IL
05
201279220
IN
05
47055301100
NE
Enumeration date
07/31/2006
Last updated
10/16/2023
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