Individual
CHIRAG B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 N MEADOW ST, OTTERBEIN, IN 47970-8592
(765) 583-4415
(765) 583-2444
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01066732A
IN
207Q00000X
Family Medicine Physician
11013064A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000622154
ANTHEM PROVIDER NUMBER
IN
01
—
000001016224
URGENT CARE ANTHEM PIN FOR TIN 352030653
IN
05
—
200285920
—
IN
Enumeration date
04/10/2007
Last updated
02/10/2021
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