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NPI Code Detail

MEDICARE: DR. BIREN M. PATEL M.D.

MEDICARE: DR. BIREN M. PATEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianA87531CA
22085R0202XDiagnostic Radiology Physician036106930IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00273264OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124099064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BIREN M. PATEL M.D.
Provider Business Mailing Address
First Line : GRUNDY RADIOLOGISTS
Second Line : 39798 TREASURY CENTER
City : CHICAGO
State : IL
Zip : 60694-9700
Country : US
Telephone Number : 614-771-2228
Fax Number : 614-541-4044
Provider Business Practice Location Address
First Line : 150 W HIGH ST
Second Line :
City : MORRIS
State : IL
Zip : 60450-1463
Country : US
Telephone Number : 815-942-2932
Fax Number : 866-503-0965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 03/05/2014

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