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NPI Code Detail

MEDICARE: DR. VIKRAM M. PATEL M.D.

MEDICARE: DR. VIKRAM 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
12084P0800XPsychiatry Physician01031501IN
22084P0800XPsychiatry Physician01031501AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902826936
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIKRAM M. PATEL M.D.
Provider Business Mailing Address
First Line : P.O. BOX 945
Second Line :
City : GREENWOOD
State : IN
Zip : 46142-0945
Country : US
Telephone Number : 317-887-1333
Fax Number : 317-887-5731
Provider Business Practice Location Address
First Line : 898 E MAIN STREET
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-1407
Country : US
Telephone Number : 317-887-1333
Fax Number : 317-887-1333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/02/2012

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