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NPI Code Detail

MEDICARE: DR. SUNIL B PATEL DO

MEDICARE: DR. SUNIL B PATEL DO
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
12084P0800XPsychiatry Physician02002620IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00844481OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235173212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNIL B PATEL DO
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number : 317-962-3834
Fax Number :
Provider Business Practice Location Address
First Line : 6820 PARKDALE PL
Second Line : STE 115
City : INDIANAPOLIS
State : IN
Zip : 46254-4699
Country : US
Telephone Number : 317-329-7300
Fax Number : 317-329-7325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 01/06/2021

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Directions to “ DR. SUNIL B PATEL DO” Practice Location

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