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1497375687 NPI number — VIVEK B PATEL MD

NPI Number: 1497375687
Health Care Provider/Practitioner: VIVEK B PATEL MD

Information about “1497375687” NPI (VIVEK B PATEL MD) exists in 1497375687 in HTML format HTML  |  1497375687 in plain Text format TXT  |  1497375687 in PDF (Portable Document Format) PDF  |  1497375687 in an XML format XML  formats.

NPI Number : 1497375687 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497375687",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PATEL",
    "FirstName": "VIVEK",
    "MiddleName": "B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "41 UNIVERSITY DR STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18940-1873",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "611 W PARK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "URBANA",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61801-2501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-383-3129",
    "PracticeLocationAddressFaxNumber": "217-326-1550",
    "EnumerationDate": "04/17/2020",
    "LastUpdateDate": "02/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "03/25/2024",
    "NPIReactivationDate": "04/02/2024",
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "MD483527",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "036173071",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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