Individual
SHYAM PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2230 INDIANAPOLIS BLVD, WHITING, IN 46394-1956
(219) 659-0333
(219) 659-0336
Mailing address
2230 INDIANAPOLIS BLVD, WHITING, IN 46394-1956
(219) 659-0333
(219) 659-0336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005122A
IN
207Q00000X
Family Medicine Physician
125.067572
IL
Other
Enumeration date
06/16/2015
Last updated
07/21/2022
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