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General NPI Number Information
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NPI Number | 1528045374
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Entity Type | Individual
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Provider Name | ATUL JAYANT PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 8201 E RIVERSIDE BLVD
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City | ROCKFORD
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State | IL
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Zip | 61114-2300
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Country | US
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Telephone | 815-971-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1902 ROYALTY DR SUITE 220
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City | POMONA
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State | CA
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Zip | 91767-3030
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Country | US
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Telephone | 909-620-8180
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Fax | 909-469-6741
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35086954
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME104546
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0025812
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | A71897
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A71897
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License Number State | CA
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