Patel, Pankaj A

Patel, Pankaj A is an individual health care provider with primary practice located at 17501 Generations Dr , South Bend IN 46635-1589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Patel, Pankaj A can be contacted via phone (574) 234-0049.

Contact Information

Primary practice address
17501 Generations Dr South Bend IN 46635-1589
Phone: (574) 234-0049
Fax: (574) 251-2861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01049700A Indiana

Profile Details

NPI number 1124022082
LBN Legal business name Patel, Pankaj A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 21st, 2011 - about 13 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 1124022082 NPPES
Indiana Other 7580376 AETNA
Indiana Other 000000225361 AETNA
Indiana Other 0649925002 AETNA
Indiana MEDICAID 200377140A AETNA
Indiana Other 100016227 AETNA

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