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NPI Code Detail

MEDICARE: DR. HARDIKKUMAR M PATEL M.D.

MEDICARE: DR. HARDIKKUMAR 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
1207RC0000XCardiovascular Disease Physician2022011658MO
2207RI0011XInterventional Cardiology Physician036165976IL
3207RI0011XInterventional Cardiology Physician01098610AIN

General Provider Information

NPI Number : 1790165736
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HARDIKKUMAR M PATEL M.D.
Provider Business Mailing Address
First Line : PO BOX 775383
Second Line :
City : CHICAGO
State : IL
Zip : 60677-5383
Country : US
Telephone Number : 812-376-5315
Fax Number :
Provider Business Practice Location Address
First Line : 2325 18TH ST STE 130
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5387
Country : US
Telephone Number : 812-379-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2015
Last Update Date : 02/09/2026

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