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General NPI Number Information
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NPI Number | 1093021164
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Entity Type | Organization
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Legal Business Name | NWI HOSPITALISTS LLC
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 19451 ROOSEVELT RD
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City | SOUTH BEND
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State | IN
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Zip | 46614-9492
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Country | US
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Telephone | 574-344-3609
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Fax |
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Provider Business Mailing Address
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Address Line | 19451 ROOSEVELT RD
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City | SOUTH BEND
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State | IN
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Zip | 46614-9492
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Country | US
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Telephone | 574-344-3609
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. VIRAJ S PATEL
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Credential | MD
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Telephone | 574-344-3609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 01063921A
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License Number State | IN
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