Basic Information
| Provider Information | |||||||||
| NPI: | 1285927301 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | NEEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 JACOB LN | ||||||||
| Address2: | MAIL STOP 39300A | ||||||||
| City: | ANOKA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553031776 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7635874200 | ||||||||
| FaxNumber: | 7635874205 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 JACOB LN | ||||||||
| Address2: | MAIL STOP 39300A | ||||||||
| City: | ANOKA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553031776 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7635874200 | ||||||||
| FaxNumber: | 7635874205 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2011 | ||||||||
| LastUpdateDate: | 11/21/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 12979 | ND | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | RL11874 | ND | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 57037 | MN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.