Provider Demographics
NPI:1710084942
Name:RAMESH I PATEL AND JITENDRA I PATEL PTR
Entity Type:Organization
Organization Name:RAMESH I PATEL AND JITENDRA I PATEL PTR
Other - Org Name:MARION LUNG CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:I
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-662-2506
Mailing Address - Street 1:315 N WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46952-3479
Mailing Address - Country:US
Mailing Address - Phone:765-662-2506
Mailing Address - Fax:765-664-8579
Practice Address - Street 1:315 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46952-3479
Practice Address - Country:US
Practice Address - Phone:765-662-2506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200867950Medicaid
INDF6609OtherRAIL ROAD
INDF6609OtherRAIL ROAD