Individual
SHYAM KISHOR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.082225
IL
2084N0400X
Neurology Physician
Primary
125.082225
IL
Other
Enumeration date
05/15/2023
Last updated
06/20/2024
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