Most Relevant Information
Provider Data
| NPI Number: | 1003074485 |
| Provider Name: | MANAN CHANDRAKANT PATEL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207ZP0102X |
| Specialty: | Pathology |
| License Number: | 036117654 |
Most Important Dates
| Enumeration Date: | 06/02/2008 |
| Last Updated: | 12/21/2011 |
Provider Practice Location
2560 N. SHADELAND AVENUE
SUITE A
INDIANAPOLIS
IN
462191706
Practice Location Phone/Fax
| Phone: | 3172758072 |
| Fax: | 3172758124 |
Provider Mailing Location
2560 N. SHADELAND AVENUE
SUITE A
INDIANAPOLIS
IN
462191706
Provider Mailing Phone/Fax
| Phone: | 3172758072 |
| Fax: | 3172758124 |