Provider Demographics
NPI:1710911219
Name:PATEL, HEMANG C (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMANG
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10300 NORTH ILLINOIS STREET
Mailing Address - Street 2:SUITE 1010
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46290-1164
Mailing Address - Country:US
Mailing Address - Phone:317-817-1768
Mailing Address - Fax:317-817-1777
Practice Address - Street 1:10300 NORTH ILLINOIS STREET
Practice Address - Street 2:SUITE 1010
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46290-1164
Practice Address - Country:US
Practice Address - Phone:317-817-1768
Practice Address - Fax:317-817-1777
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01051177A207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000022212OtherM-PLAN
IN200440570Medicaid
INP00012879OtherRAILROAD MEDICARE
IN0007123337OtherAETNA
IN000000277878OtherBLUE SHIELD
INH58955Medicare UPIN
IN000000277878OtherBLUE SHIELD