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NPI Code Detail

MEDICARE: DR. MALINI PATEL M.D.

MEDICARE: DR. MALINI 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
12084P0800XPsychiatry Physician036071863IL

General Provider Information

NPI Number : 1578627097
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MALINI PATEL M.D.
Provider Business Mailing Address
First Line : 111 N COUNTY FARM RD
Second Line :
City : WHEATON
State : IL
Zip : 60187-3988
Country : US
Telephone Number : 630-682-7400
Fax Number :
Provider Business Practice Location Address
First Line : 111 N COUNTY FARM RD
Second Line :
City : WHEATON
State : IL
Zip : 60187-3988
Country : US
Telephone Number : 630-682-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 10/14/2021

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Directions to “ DR. MALINI PATEL M.D.” Practice Location

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