Individual
NIL PANKAJ PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6400 CLAYTON RD STE 412, SAINT LOUIS, MO 63117-1850
(314) 381-1800
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-6730
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2023043417
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
01/31/2024
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