Individual
ATUL JAYANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
1902 ROYALTY DR, SUITE 220, POMONA, CA 91767-3030
(909) 620-8180
(909) 469-6741
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35086954
OH
2085R0202X
Diagnostic Radiology Physician
Primary
A71897
CA
2085R0202X
Diagnostic Radiology Physician
C1-0025812
DE
2085R0202X
Diagnostic Radiology Physician
ME104546
FL
2085U0001X
Diagnostic Ultrasound Physician
A71897
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000500791
ANTHEM
OH
05
—
00A718970
—
CA
05
—
2695445
—
OH
Enumeration date
12/22/2005
Last updated
08/13/2025
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