Individual
MUKUND D PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1547 OHIO AVE, ANDERSON, IN 46016-1917
(765) 641-7499
(765) 641-7996
Mailing address
PO BOX 349, ANDERSON, IN 46015-0349
(765) 641-7499
(765) 641-7996
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01029269
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389720
ANTHEM
IN
Enumeration date
06/02/2006
Last updated
04/16/2013
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