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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1891986907 NPPES
Illinois MEDICAID 036072639

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