Healthcare Provider Details

I. General information

NPI: 1235041153
Provider Name (Legal Business Name): NEEL PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 SIBLEY ST STE A
HAMMOND IN
46320-1725
US

IV. Provider business mailing address

629 CAMBRIDGE CT APT 2C
MUNSTER IN
46321-2475
US

V. Phone/Fax

Practice location:
  • Phone: 219-802-8800
  • Fax:
Mailing address:
  • Phone: 219-802-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28267647A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: