Patel, Nisha

Patel, Nisha is an individual health care provider with primary practice located at 2100 Glenwood Ave , Joliet IL 60435-5487. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Patel, Nisha can be contacted via phone (815) 999-3400.

Contact Information

Primary practice address
2100 Glenwood Ave Joliet IL 60435-5487
Fax: (815) 730-6382
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A90514 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36-109088 Illinois

Profile Details

NPI number 1407828882
LBN Legal business name Patel, Nisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Aug 17th, 2023 - about last year

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 1407828882 NPPES
California MEDICAID 00A905140

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