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Individual

DR. MINESH SURESH PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3050 MONTVALE DR STE A, SPRINGFIELD, IL 62704-6924
(217) 726-8096
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036138786
IL
2085R0202X
Diagnostic Radiology Physician
2015026118
MO
2085R0202X
Diagnostic Radiology Physician
P1126
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036138786
IL
05
200024554
MO
Enumeration date
05/01/2009
Last updated
11/27/2023
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