Healthcare Provider Details

I. General information

NPI: 1851654586
Provider Name (Legal Business Name): ANAND D PATEL I M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19333 W NORTH AVE
BROOKFIELD WI
53045-4132
US

IV. Provider business mailing address

19333 W NORTH AVE
BROOKFIELD WI
53045-4132
US

V. Phone/Fax

Practice location:
  • Phone: 262-780-4111
  • Fax: 262-780-4120
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT202477
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMT202477
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number69090-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: