Individual
PANKTI A PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1234 E DUPONT RD STE 3, FORT WAYNE, IN 46825-1545
(260) 672-6590
(260) 672-6599
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01098229A
IN
207R00000X
Internal Medicine Physician
4301119163
MI
Other
Enumeration date
05/07/2015
Last updated
01/05/2026
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