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Individual

RAVI PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-8855

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
324498
NY
207RC0000X
Cardiovascular Disease Physician
Primary
036.175507
IL

Other

Enumeration date
04/11/2020
Last updated
06/18/2025
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