Individual
UPENDRA H. PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8242 CALUMET AVE., MUNSTER, IN 46321-1704
(219) 836-6166
(219) 836-0768
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4886
(317) 859-8239
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01026776A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
01026776A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100157570
—
IN
Enumeration date
07/21/2005
Last updated
11/30/2012
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