Individual
DHWANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-0920
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71012536A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012536A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102687163
ANTHEM PTAN
IN
05
—
300067188
—
IN
Enumeration date
05/06/2022
Last updated
11/22/2024
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