Provider Demographics
NPI:1811007735
Name:PATEL, RAMESH (MD)
Entity Type:Individual
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First Name:RAMESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1040 SIERRA DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-7240
Mailing Address - Country:US
Mailing Address - Phone:317-528-4800
Mailing Address - Fax:317-865-8319
Practice Address - Street 1:3700 W 203RD ST
Practice Address - Street 2:SUITE 204
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1180
Practice Address - Country:US
Practice Address - Phone:708-679-2560
Practice Address - Fax:708-503-3850
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-08-29
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Provider Licenses
StateLicense IDTaxonomies
IL036048035207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4673170001OtherDMERC
ILP00439473/CK6882OtherRAILROAD MEDICARE
ILK47234/203979Medicare PIN
ILK47235/203980Medicare PIN