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Individual

DR. SUBHASH KANUBHAI PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036118643
IL
2084N0600X
Clinical Neurophysiology Physician
036118643
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036118643
MEDICAID
IL
01
206147
MEDICARE PTAN (GROUP)
IL
01
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
F400121574
MEDICARE PTAN (INDIVIDUAL)
IL
01
P01291635
MEDICARE RAILROAD (INDIVIDUAL)
IL
Enumeration date
10/25/2006
Last updated
06/26/2018
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