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NPI Code Detail

MEDICARE: DEODUTT PATEL MD

MEDICARE:   DEODUTT  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
12085R0202XDiagnostic Radiology Physician35052140OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6P00662784OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000231028OTHEROHUNISON
24007747OTHEROHAETNA
310024043OTHERWVWV BWC
4752766OTHEROHBUCKEYE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7000000550695OTHEROHANTHEM
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932192911
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEODUTT PATEL MD
Provider Business Mailing Address
First Line : 90 JACKSON PIKE
Second Line :
City : GALLIPOLIS
State : OH
Zip : 45631-1560
Country : US
Telephone Number : 740-441-1949
Fax Number : 740-446-5982
Provider Business Practice Location Address
First Line : 90 JACKSON PIKE
Second Line :
City : GALLIPOLIS
State : OH
Zip : 45631-1560
Country : US
Telephone Number : 740-446-5289
Fax Number : 740-446-5697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 10/24/2011

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Directions to “ DEODUTT PATEL MD” Practice Location

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