Provider Demographics
NPI:1174866750
Name:PATEL, NEHUL (MD)
Entity Type:Individual
Prefix:
First Name:NEHUL
Middle Name:
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 1:387 SHUMAN BLVD STE 240W
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8113
Mailing Address - Country:US
Mailing Address - Phone:630-868-2200
Mailing Address - Fax:630-225-5151
Practice Address - Street 1:387 SHUMAN BLVD STE 240W
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8113
Practice Address - Country:US
Practice Address - Phone:630-868-2200
Practice Address - Fax:630-225-5151
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10312800207L00000X, 207LP3000X
IL036.155727207LP3000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology