Individual
SHANTILAL S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1037
(812) 242-3175
(812) 242-3543
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3175
(812) 242-3543
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01032912A
IN
207RC0000X
Cardiovascular Disease Physician
36065647
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089599
ANTHEM
—
01
—
060002293
RAILROAD MCARE PALAMETTO
—
05
—
100251290
—
IN
01
—
110044264
RAILROAD MEDICARE
IN
01
—
P00209796
RAILROAD MEDICARE
IN
01
—
P00844278
RAILROAD MEDICARE
IN
Enumeration date
08/30/2006
Last updated
03/14/2013
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