Patel, Kanubhai M
Patel, Kanubhai M is an individual health care provider with primary practice located at 3165 Myrtle Ave , Granite City IL 62040-5012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Patel, Kanubhai M can be contacted via phone (618) 877-3066.Contact Information
Primary practice address
3165 Myrtle Ave
Granite City IL 62040-5012
Phone: (618) 877-3066
Fax: (618) 877-3060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-048978 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-048978 | Illinois |
Profile Details
| NPI number | 1649278185 |
|---|---|
| LBN Legal business name | Patel, Kanubhai M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | May 12th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649278185 | NPPES |
| Illinois | MEDICAID | 036048978 | |
| Illinois | MEDICAID | 201849601 |
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