| Mahindra Patel, M.d. Ltd | |
|
210 N Main St Homer IL 61849-1027 | |
| (217) 896-2491 | |
| Not Available |
| Full Name | Mahindra Patel, M.d. Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 210 N Main St, Homer, Illinois |
| Authorized Official Name and Position | Mahindra Patel (PRESIDENT) |
| Authorized Official Contact | 2178962491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahindra Patel, M.d. Ltd 210 N Main St Homer IL 61849-1027 Ph: (217) 896-2491 | Mahindra Patel, M.d. Ltd 210 N Main St Homer IL 61849-1027 Ph: (217) 896-2491 |
| NPI Number | 1528283116 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527169887 |
|---|---|
| Medicare Enrollment ID | O20070731000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528283116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0360662415 (Illinois) | Primary |
| Provider Name | Mahindra D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841263258 PECOS PAC ID: 2062492838 Enrollment ID: I20040722000437 |
Heritage Cusd 8 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 W 1st St, Homer, IL 61849 Phone: 217-893-2421 Fax: 217-896-2715 |