Individual
DR. ANTILKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
13 JANE LACEY DR APT B, ENDICOTT, NY 13760-3723
(630) 923-2063
Mailing address
13 JANE LACEY DR APT B, ENDICOTT, NY 13760-3723
(630) 923-2063
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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