Organization
ALLEN COUNTY INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTVIK PATEL MD (OWNER)
(217) 714-0220
Entity
Organization
Contact information
Practice address
12515 GOLDEN HARVEST DR, FORT WAYNE, IN 46845-9031
(217) 714-0220
Mailing address
12515 GOLDEN HARVEST DR, FORT WAYNE, IN 46845-9031
(217) 714-0220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201240270 A
—
IN
05
—
201240270 B
—
IN
05
—
201240270 C
—
IN
05
—
201240270 D
—
IN
05
—
201240270 E
—
IN
Enumeration date
06/12/2014
Last updated
06/21/2016
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