Individual
PRIYANKKUMAR PRAVINKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 W UNIVERSITY AVE, MILLS, URBANA, IL 61801-1645
(217) 383-6636
(217) 383-3466
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
277392
NY
207RH0003X
Hematology & Oncology Physician
Primary
036141621
IL
Other
Enumeration date
07/01/2010
Last updated
03/23/2017
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