Individual
AMI V PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9894 E 121ST ST, FISHERS, IN 46037-4154
(317) 621-6060
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
005450
GA
207Q00000X
Family Medicine Physician
01078745A
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
01078745A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2016-02019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001389658
ANTHEM PTAN
IN
01
—
074297
GA LICENSE
GA
01
—
1100214727
ANTHEM PTAN
IN
05
—
1306106455
—
NC
05
—
300006139
—
IN
05
—
NC2896
—
SC
Enumeration date
05/23/2012
Last updated
03/15/2025
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