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NPI Code Detail

MEDICARE: DR. KRISHNA PATEL M.D.

MEDICARE: DR. KRISHNA 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207N00000XDermatology Physician036156609IL

General Provider Information

NPI Number : 1790131753
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISHNA PATEL M.D.
Provider Business Mailing Address
First Line : 3000 N HALSTED ST STE 409
Second Line :
City : CHICAGO
State : IL
Zip : 60657-9268
Country : US
Telephone Number : 773-281-9200
Fax Number :
Provider Business Practice Location Address
First Line : 3000 N HALSTED ST STE 409
Second Line :
City : CHICAGO
State : IL
Zip : 60657-9268
Country : US
Telephone Number : 773-281-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2016
Last Update Date : 02/10/2022

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

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