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Individual

DR. SATISH PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9108 COLUMBIA AVE, SUITE B, MUNSTER, IN 46321-2907
(219) 836-8901
(219) 836-8909
Mailing address
PO BOX 3097, MUNSTER, IN 46321-0097
(219) 836-8901
(219) 836-8909

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01042343A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000285227
ANTHEM INDIANA
IN
01
036074197
ILLINOIS MEDICAID
IL
05
100375960
IN
01
110244810
MEDICARE RAILROAD
IN
01
7156639
CIGNA
01
90001116
BLUE CROSS BLUE SHIELD IL
IL
01
IN2167001
MEDICARE PTAN
IN
01
P01424927
MEDICARE RR PTAN
IN
Enumeration date
03/30/2006
Last updated
08/01/2017
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