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NPI Code Detail

MEDICARE: VIPUL M PATEL DPM

MEDICARE: VIPUL M PATEL DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist07000921AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780611467
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIPUL M PATEL DPM
Provider Business Mailing Address
First Line : 10506 CAPISTRANO LN
Second Line :
City : ORLAND PARK
State : IL
Zip : 60467-8245
Country : US
Telephone Number : 219-659-9000
Fax Number : 219-659-0944
Provider Business Practice Location Address
First Line : 2075 INDIANAPOLIS BLVD
Second Line :
City : WHITING
State : IN
Zip : 46394-1948
Country : US
Telephone Number : 219-659-9000
Fax Number : 219-659-0944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 02/27/2019

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Directions to “ VIPUL M PATEL DPM” Practice Location

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