Provider Demographics
NPI:1376737031
Name:PATEL, ASHOK VITHALBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:VITHALBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHOK
Other - Middle Name:VITHALBHAI
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3244 S SARATOGA AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4696
Mailing Address - Country:US
Mailing Address - Phone:417-890-1088
Mailing Address - Fax:
Practice Address - Street 1:3244 S SARATOGA AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4696
Practice Address - Country:US
Practice Address - Phone:417-890-1088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7P85207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine