Individual
PRITI DILIP PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6308 8TH AVENUE, STE 2000, KENOSHA, WI 53143
(262) 653-5300
(262) 653-5412
Mailing address
6308 8TH AVENUE, STE 2000, KENOSHA, WI 53143
(262) 653-5300
(262) 653-5412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24329
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
24329
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30436000
—
WI
Enumeration date
05/27/2006
Last updated
03/14/2008
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