Male or Other

Dr. Manan C. Patel MD

Anatomic Pathology & Clinical Pathology Physician in Indianapolis, IN(View on Map)

Full Name

Dr. Manan Chandrakant Patel MD

NPI Number

1003074485

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/02/2008

Specialties

(Taxonomies)

Code

207ZP0102X

Primary Taxonomy

Yes

Licenses

State

Illinois
Indiana
Michigan
Wisconsin

License Number

036117654
01068484A
4301091832
42564-20

Contact
Information

Purpose

Mailing
Location

Address

2560 N. SHADELAND AVENUE
2560 N. SHADELAND AVENUE

City

Indianapolis
Indianapolis

State

IN
IN

Postal Code

46219-1706
46219-1706

Country

US
US

Telephone Number

(317) 275-8072
(317) 275-8072

Identifiers

Identifier

201020930

Identifier State

IN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/21/2011

Provider Address

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