Patel, Priti M.
Patel, Priti M. is an individual health care provider with primary practice located at 530 Ne Glenoak Ave , Peoria IL 61603-3133. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Patel, Priti M. can be contacted via phone (319) 354-1625.Contact Information
Primary practice address
530 Ne Glenoak Ave
Peoria IL 61603-3133
Phone: (319) 354-1625
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 36156 | Iowa |
Profile Details
| NPI number | 1740483627 |
|---|---|
| LBN Legal business name | Patel, Priti M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Jul 5th, 2022 - 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 | 1740483627 | NPPES |
| Illinois | Other | 216946 | MEDICARE GROUP PTAN |
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