Individual
AMAR Y. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147
(262) 249-5000
(262) 249-7142
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68480-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100074409
—
WI
Enumeration date
01/22/2018
Last updated
01/31/2024
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