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General NPI Number Information
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NPI Number | 1710911219
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Entity Type | Individual
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Provider Name | HEMANG C. PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 10300 NORTH ILLINOIS STREET SUITE 1010
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1164
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Country | US
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Telephone | 317-817-1768
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Fax | 317-817-1777
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Provider Business Mailing Address
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Address Line | 10300 NORTH ILLINOIS STREET SUITE 1010
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1164
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Country | US
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Telephone | 317-817-1768
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Fax | 317-817-1777
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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 | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 01051177A
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License Number State | IN
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