Provider Demographics
NPI:1376920264
Name:PATEL, DARSHAN (MD)
Entity type:Individual
Prefix:DR
First Name:DARSHAN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20330 N DEER PARK BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60010-7222
Mailing Address - Country:US
Mailing Address - Phone:312-625-1889
Mailing Address - Fax:224-344-6981
Practice Address - Street 1:20330 N DEER PARK BLVD STE 130
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:IL
Practice Address - Zip Code:60010-7222
Practice Address - Country:US
Practice Address - Phone:312-625-1889
Practice Address - Fax:224-344-6981
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01091669A207R00000X
MIEMC0004011207R00000X
OH35C.001018207R00000X
WI4465-320207R00000X
CAA156554207R00000X
IL036.155781207R00000X, 2083B0002X
GA97575207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine