Individual
DR. KAMAL A PATEL
Active
Individual
DR. KAMAL A PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036100655
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623480
BLUE CROSS BLUE SHIELD
IL
05
—
036100655
—
IL
01
—
110200689
RAILROAD MEDICARE PTAN
IL
Enumeration date
09/13/2006
Last updated
01/03/2013
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