Individual
AKXAY S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1310 S LEBANON ST, LEBANON, IN 46052-2792
(765) 482-7005
(765) 483-2517
Mailing address
1310 S LEBANON ST, LEBANON, IN 46052-2792
(765) 482-7005
(765) 483-2517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004236A
IN
207Q00000X
Family Medicine Physician
50787021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01970350
—
NY
05
—
30005655
—
IN
Enumeration date
12/01/2006
Last updated
11/30/2021
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