Provider Demographics
NPI:1083625909
Name:PATEL, ASHISH V (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:V
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1301 N PLUM GROVE RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4547
Mailing Address - Country:US
Mailing Address - Phone:847-490-0600
Mailing Address - Fax:847-490-0996
Practice Address - Street 1:1301 N PLUM GROVE RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4547
Practice Address - Country:US
Practice Address - Phone:847-490-0600
Practice Address - Fax:847-490-0996
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036108656207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036108656OtherSTATE LICENSE
IL336069463OtherSTATE CONTROLLED SUBSTANC
BP 8238239OtherDEA NUMBER
BP 8238239OtherDEA NUMBER