Provider Demographics
NPI:1154509735
Name:PATEL, ARPAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:ARPAN
Middle Name:J
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 WILEY RD
Mailing Address - Street 2:SUITE 153
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4382
Mailing Address - Country:US
Mailing Address - Phone:847-519-4701
Mailing Address - Fax:
Practice Address - Street 1:1365 WILEY RD
Practice Address - Street 2:SUITE 153
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4382
Practice Address - Country:US
Practice Address - Phone:847-519-4701
Practice Address - Fax:847-519-4707
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036120219207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036120219Medicaid
IL217075004Medicare PIN
IL036120219Medicaid
IL6677700001Medicare NSC