Patel, Kaushik Jayantilal
Patel, Kaushik Jayantilal is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3909. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Patel, Kaushik Jayantilal can be contacted via phone (217) 366-1212.Contact Information
Primary practice address
101 W University Ave
Champaign IL 61820-3909
Phone: (217) 366-1212
Fax: (217) 366-6106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036-090008 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036-090008 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-090008 | Illinois |
Profile Details
| NPI number | 1861486987 |
|---|---|
| LBN Legal business name | Patel, Kaushik Jayantilal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1861486987 | NPPES |
| Illinois | Other | P00892835 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 036090008 | RAILROAD MEDICARE |
| Illinois | Other | 279500 | RAILROAD MEDICARE |
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