Organization
DR. MITA R. PATEL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITA PATEL MD (OWNER)
(765) 483-0842
Entity
Organization
Contact information
Practice address
1608 N LEBANON ST, LEBANON, IN 46052-1514
(765) 483-0842
(765) 483-0846
Mailing address
1608 N LEBANON ST, LEBANON, IN 46052-1514
(765) 483-0842
(765) 483-0846
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01039025A
IN
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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