Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 036133753 | IL |
Y | 208600000X | Surgeon | 036133753 | IL |
N | 208200000X | Surgeon | 264044 | NY |
N | 208600000X | Surgeon | 264044 | NY |
N | 208200000X | Surgeon | 35089315 | OH |
N | 208600000X | Surgeon | 35089315 | OH |
NPI | 1013118140 |
---|---|
Provider Name | Parit A Patel |
First Address | Chicago, IL 60611-6707 |
Second Address | Chicago, IL 60611-6707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 10/12/2021 |