Doctor Name: | DR. SAMIR A PATEL |
NPI Number: | 1992704332 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 036096741 |
Business Practice Address: | 1900 E Lake Shore Dr Suite 330 Decatur, IL - 625213824 |
Business Phone Number: | 2174232889 |
Business Fax Number: | 2174232923 |
Mailing Address: | 1900 E Lake Shore Dr, Suite 330 DECATUR |
State: | IL |
Postal Code: | 625213824 |
Phone Number: | 2174232889 |
Fax Number: | 2174232923 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 03/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/18/2006 |
NPI Reactivation Date: | 03/27/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 036096741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |