Provider Demographics
NPI:1699395715
Name:PATEL, MILANKUMAR J (NEMT)
Entity Type:Individual
Prefix:
First Name:MILANKUMAR
Middle Name:J
Last Name:PATEL
Suffix:
Gender:M
Credentials:NEMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16027 GOLFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-4661
Mailing Address - Country:US
Mailing Address - Phone:708-682-4488
Mailing Address - Fax:
Practice Address - Street 1:400 ADAMWOOD DR APT F06
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5158
Practice Address - Country:US
Practice Address - Phone:708-682-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-18
Last Update Date:2020-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)