Individual
DR. SUBHASH J PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 MAIN ST, STE 320, PEORIA, IL 61602-1005
(309) 672-3140
(309) 672-3145
Mailing address
900 MAIN ST, STE 320, PEORIA, IL 61602-1005
(309) 672-3140
(309) 672-3145
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-072639
IL
207RI0011X
Interventional Cardiology Physician
Primary
036-072639
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072639
—
IL
Enumeration date
08/05/2007
Last updated
02/20/2020
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