Individual
DEODUTT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5289
(740) 446-5697
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 441-1949
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35052140
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000231028
UNISON
OH
01
—
000000550695
ANTHEM
OH
05
—
0593264
—
OH
01
—
10024043
WV BWC
WV
05
—
3810017279
—
WV
01
—
4007747
AETNA
OH
01
—
752766
BUCKEYE
OH
01
—
P00662784
RAILROAD MEDICARE
OH
Enumeration date
08/25/2005
Last updated
10/24/2011
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