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Individual

DR. SURYAPRAKASH D. PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1050 DELAWARE AVE, MARION, OH 43302
(740) 383-7778
(740) 375-8118
Mailing address
L-3549, 1050 DELAWARE AVENUE, COLUMBUS, OH 43260-0001
(740) 383-7927
(740) 383-7942

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35037302P
OH
207L00000X
Anesthesiology Physician
Primary
35.037302
OH
207L00000X
Anesthesiology Physician
35.037302P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0262602
OH
Enumeration date
07/12/2006
Last updated
11/13/2012
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