Individual
SMITA V PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
922 EAST UNIVERSITY DRIVE, GRANGER, IN 46530-4466
(574) 968-0011
(574) 968-0012
Mailing address
922 EAST UNIVERSITY DRIVE, GRANGER, IN 46530-4466
(574) 968-0011
(574) 968-0012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01063933A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000581215
BCBS
IN
05
—
200867110
—
IN
Enumeration date
04/10/2007
Last updated
06/13/2016
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