Healthcare Provider Details

I. General information

NPI: 1871956698
Provider Name (Legal Business Name): SHINAL M PATEL M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 W JEFFERSON ST STE 102
FRANKLIN IN
46131-2731
US

IV. Provider business mailing address

PO BOX 800
FRANKLIN IN
46131-0800
US

V. Phone/Fax

Practice location:
  • Phone: 317-736-7603
  • Fax: 317-736-7932
Mailing address:
  • Phone: 317-736-3572
  • Fax: 317-736-2662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number9408965
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01099601A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: