Individual
SAURIN G PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 EASTLAND DR STE 320, BLOOMINGTON, IL 61701-3534
(309) 661-2368
(309) 662-9709
Mailing address
1505 EASTLAND DR STE 320, BLOOMINGTON, IL 61701-3534
(309) 661-2368
(309) 662-9709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0431717
KS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-126339
IL
207RP1001X
Pulmonary Disease Physician
Primary
036-126339
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
833120
MEDICARE GROUP #
—
01
—
IL2613
MEDICARE GROUP #
—
Enumeration date
06/13/2006
Last updated
02/18/2011
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