Individual
DR. NILESH HARIBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 AZALEA CT STE B, MYRTLE BEACH, SC 29577-5765
(843) 692-0570
Mailing address
5640 MONT PELIER CT, RENO, NV 89511-8022
(312) 320-0112
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
036106011
IL
2085R0204X
Vascular & Interventional Radiology Physician
56442
AZ
2085R0204X
Vascular & Interventional Radiology Physician
93200
SC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G075762
CA
2085R0204X
Vascular & Interventional Radiology Physician
G75762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0935687403
—
IL
01
—
206147
MEDICARE GROUP
IL
01
—
3625139096019701
CDH HFS GROUP PAYEE ID
IL
01
—
P00463387
MEDICARE RAILROAD
IL
Enumeration date
05/04/2006
Last updated
10/07/2025
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