Provider Demographics
NPI:1568438638
Name:PATEL, NEELAMKUMAR V (MD)
Entity Type:Individual
Prefix:DR
First Name:NEELAMKUMAR
Middle Name:V
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NEELAM
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:226 US HIGHWAY 20
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:IN
Mailing Address - Zip Code:46540-9713
Mailing Address - Country:US
Mailing Address - Phone:574-825-8068
Mailing Address - Fax:574-825-4873
Practice Address - Street 1:226 US HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:IN
Practice Address - Zip Code:46540-9713
Practice Address - Country:US
Practice Address - Phone:574-825-8068
Practice Address - Fax:574-825-4873
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01059775A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200283520Medicaid
IN200283520Medicaid
IN184520IIMedicare PIN