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Organization

SURESH M PATEL MD PMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SURESH PATEL MD (OWNER)
(765) 825-8686
Entity
Organization

Contact information

Practice address
1475 E STATE ROAD 44, CONNERSVILLE, IN 47331-8292
(765) 827-1903
(765) 827-1918
Mailing address
PO BOX 779, CONNERSVILLE, IN 47331-0779
(765) 825-8686
(765) 827-8525

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01028231A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100114640A
IN
Enumeration date
09/24/2008
Last updated
01/13/2009
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