Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 036126338 | IL |
Y | 207RI0200X | Infectious Disease | 235174 | NY |
NPI | 1023191145 |
---|---|
Provider Name | Dr. Mahesh C. Patel |
First Address | Chicago, IL 60612-7300 |
Second Address | Chicago, IL 60612-7300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 20/08/2010 |