Provider Demographics
NPI:1730298522
Name:PATEL, URMILA K (MD)
Entity Type:Individual
Prefix:
First Name:URMILA
Middle Name:K
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-4214
Mailing Address - Country:US
Mailing Address - Phone:812-242-3120
Mailing Address - Fax:812-242-3846
Practice Address - Street 1:221 S 6TH ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-4214
Practice Address - Country:US
Practice Address - Phone:812-242-3120
Practice Address - Fax:812-242-3846
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01043235A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000089610OtherANTHEM
080061864OtherRAILROAD MCARE PALAMETTO
IN200010000Medicaid
I018482D077OtherUNISYS CHAMPUS SECONDARY
IN200010000AOtherMOLINA HEALTHCARE MCAID
351904269113OtherCARESOURCE MEDICAID
0182852OtherUS DEPT OF LABOR
048061OtherCIGNA
INP00818722OtherRAILROAD MEDICARE
277604OtherHEALTHLINK
5545152OtherAETNA
N281086OtherHARMONY HEALTH PLAN IND
277604OtherHEALTHLINK
IN859910OOMedicare PIN
351904269113OtherCARESOURCE MEDICAID
IN192770XXMedicare PIN