Dr Nikesh Kavi Patel, MD | |
530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | |
(309) 655-6384 | |
(309) 655-7732 |
Full Name | Dr Nikesh Kavi Patel |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 530 Ne Glen Oak Ave, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023688371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036168976 (Illinois) | Primary |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
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Dr Nikesh Kavi Patel, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2730 | Dr Nikesh Kavi Patel, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-6384 |
Sandeep Banga, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732 | |
Riaz Shah, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729 | |
Dr. James Daniel Dewar, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257 | |
Waqas Ali, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Dr. Sudhir Mungee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830 | |
Dr. Bhanu T Paturi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-8383 |