Individual
DR. PANNA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1373 E SR 62, MADISON, IN 47250
(812) 801-0832
(812) 801-0747
Mailing address
PO BOX 3395, EVANSVILLE, IN 47732-3395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01070653A
IN
207R00000X
Internal Medicine Physician
056620
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201048870
—
IN
01
—
50037681
KY PASSPORT
KY
05
—
7100196170
—
KY
Enumeration date
09/15/2006
Last updated
06/22/2018
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