Provider Demographics
NPI:1194619494
Name:PATEL, VEDANSIBAHEN
Entity type:Individual
Prefix:
First Name:VEDANSIBAHEN
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2227 MICHIGAN RD APT 1
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-2401
Mailing Address - Country:US
Mailing Address - Phone:732-371-7181
Mailing Address - Fax:
Practice Address - Street 1:549 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:NEW WHITELAND
Practice Address - State:IN
Practice Address - Zip Code:46184-1365
Practice Address - Country:US
Practice Address - Phone:317-680-5559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014716A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice