Individual
DR. SONAL GIRISH PATEL
Active
Individual
DR. SONAL GIRISH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036118277
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
A122390
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
D84756
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
IL
05
—
036118277
—
IL
01
—
1033149844
GROUP NPI
IL
01
—
1366608879
NPI
IL
01
—
363149833
GROUP TAX IDENTIFICATION NUMBER
IL
01
—
3631498336019001
CDPG HFS PAYEE ID
IL
Enumeration date
08/04/2008
Last updated
07/09/2019
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