MEDICARE: DR. LOVE PATEL DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	036157757	IL
2	208M00000X	Hospitalist Physician	036160291	IL
3	207RP1001X	Pulmonary Disease Physician	V7613	TX

General Provider Information

NPI Number	:	1770045627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOVE PATEL DO

Provider Business Mailing Address
First Line	:	2160 S 1ST AVE
Second Line	:
City	:	MAYWOOD
State	:	IL
Zip	:	60153-3328
Country	:	US
Telephone Number	:	888-584-7888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1513 E NEW HOPE DR BLDG B
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78641-5760
Country	:	US
Telephone Number	:	512-977-0123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2019
Last Update Date	:	07/29/2025

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Directions to “ DR. LOVE PATEL DO” Practice Location

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