Patel, Subhash J
Patel, Subhash J is an sole proprietor health care provider with primary practice located at 900 Main St Ste 320, Peoria IL 61602-1005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Patel, Subhash J can be contacted via phone (309) 672-3140.Contact Information
Primary practice address
900 Main St Ste 320
Peoria IL 61602-1005
Phone: (309) 672-3140
Fax: (309) 672-3145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-072639 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036-072639 | Illinois |
Profile Details
| NPI number | 1891986907 |
|---|---|
| LBN Legal business name | Patel, Subhash J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Feb 20th, 2020 - about 5 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 | 1891986907 | NPPES |
| Illinois | MEDICAID | 036072639 |
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