Individual
RAVI J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17501 GENERATIONS DR, SOUTH BEND, IN 46635
(574) 234-0049
(574) 234-0053
Mailing address
17501 GENERATIONS DR, SOUTH BEND, IN 46635-1589
(574) 234-0049
(574) 234-0053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60680-20
WI
207RG0100X
Gastroenterology Physician
Primary
60680-20
WI
Other
Enumeration date
04/08/2010
Last updated
08/14/2018
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