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NPI Code Detail

MEDICARE: DR. VANDANA B PATEL MD

MEDICARE: DR. VANDANA B 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
1208000000XPediatrics Physician01054937AIN

General Provider Information

NPI Number : 1801890587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VANDANA B PATEL MD
Provider Business Mailing Address
First Line : 6130 EASY LN
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46259-6816
Country : US
Telephone Number : 317-862-5754
Fax Number :
Provider Business Practice Location Address
First Line : 2001 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1902
Country : US
Telephone Number : 317-338-2121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/08/2007

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Directions to “ DR. VANDANA B PATEL MD” Practice Location

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