Organization
CHANTEL MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATISH PATEL MD (OWNER)
(219) 836-8901
Entity
Organization
Contact information
Practice address
9108 COLUMBIA AVE STE B, MUNSTER, IN 46321-2907
(219) 836-8901
(219) 836-8909
Mailing address
PO BOX 3097, MUNSTER, IN 46321-0097
(219) 662-6391
(219) 663-6359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201254110A
—
IN
01
—
DV3634
MEDICARE RR PTAN
IN
01
—
IN2167
MEDICARE PTAN
IN
Enumeration date
08/06/2014
Last updated
07/21/2022
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