Patel, Divyesh Gaju

Patel, Divyesh Gaju is an individual health care provider with primary practice located at 825 E Lincolnway , Valparaiso IN 46383-5803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Patel, Divyesh Gaju can be contacted via phone (219) 464-4891.

Contact Information

Primary practice address
825 E Lincolnway Valparaiso IN 46383-5803
Fax: (219) 464-1873
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301085194 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01063311A Indiana

Profile Details

NPI number 1821137563
LBN Legal business name Patel, Divyesh Gaju
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Nov 13th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821137563 NPPES
Indiana Other P00413508 RR MEDICARE

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