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NPI Code Detail

MEDICARE: DR. RAKESH R. PATEL MD

MEDICARE:  DR. RAKESH R. PATEL  MD
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
1207Q00000XFamily Medicine Physician036112389IL
2207Q00000XFamily Medicine Physician74266AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2036112389OTHERILSTATE LICENSE

General Provider Information

NPI Number : 1548230063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAKESH R. PATEL MD
Provider Business Mailing Address
First Line : 10350 HALIGUS RD
Second Line :
City : HUNTLEY
State : IL
Zip : 60142-9545
Country : US
Telephone Number : 815-338-6600
Fax Number : 847-802-7112
Provider Business Practice Location Address
First Line : 6220 W BELL RD
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-3896
Country : US
Telephone Number : 602-547-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 01/14/2025

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Directions to “ DR. RAKESH R. PATEL MD” Practice Location

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