Individual
MAHINDRA D. PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 N MAIN ST, HOMER, IL 61849-1027
(217) 896-2491
Mailing address
210 N MAIN ST, HOMER, IL 61849-1027
(217) 896-2491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036062415
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036062415
STATE MEDICAL LIC
IL
Enumeration date
02/08/2006
Last updated
03/30/2022
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