Individual
ILAXI PATEL
Active
Individual
ILAXI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-094572
IL
208000000X
Pediatrics Physician
036094572
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094572
—
IL
01
—
046887
HEALTH ALLIANCE
IL
01
—
553180
MEDICARE GROUP PTAN
IL
01
—
553180036
MEDICARE INDIVIDUAL PTAN
IL
01
—
834340
MEDICARE GROUP
IL
01
—
834340024
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
08/05/2006
Last updated
05/01/2018
Update your record
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