| Doctor Name: | MR. VIPUL K PATEL |
| NPI Number: | 1548233851 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35081658P |
| Business Practice Address: | 30 Warder St Suite 100 Springfield, OH - 455042500 |
| Business Phone Number: | 9373282314 |
| Business Fax Number: | 9373282303 |
| Mailing Address: | 30 Warder St, Suite 100 SPRINGFIELD |
| State: | OH |
| Postal Code: | 455042500 |
| Phone Number: | 9373282314 |
| Fax Number: | 9373282303 |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 03/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35081658P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |