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Individual

DR. AMITKUMAR PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
(309) 743-9128
Mailing address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
(309) 743-9128

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036143487
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036143487
LICENSE
IL
01
336105008
CONTROL SUBSTANCE
IL
Enumeration date
06/03/2011
Last updated
03/07/2023
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