Most Relevant Information
Provider Data
| NPI Number: | 1003801291 |
| Provider Name: | SAMIR B PATEL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 01046230 |
Most Important Dates
| Enumeration Date: | 09/14/2005 |
| Last Updated: | 05/16/2013 |
Provider Practice Location
620 W EDISON RD
SUITE 110
MISHAWAKA
IN
465452784
Practice Location Phone/Fax
| Phone: | 5742581100 |
| Fax: | 5742581101 |
Provider Mailing Location
620 W EDISON RD
SUITE 110
MISHAWAKA
IN
465452784
Provider Mailing Phone/Fax
| Phone: | 5742581100 |
| Fax: | 5742581101 |