Provider Demographics
NPI:1922857911
Name:AHMED & PATEL, PLLC
Entity type:Organization
Organization Name:AHMED & PATEL, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKIN
Authorized Official - Middle Name:VIRENDRA
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-814-0728
Mailing Address - Street 1:960 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-5128
Mailing Address - Country:US
Mailing Address - Phone:815-814-0728
Mailing Address - Fax:
Practice Address - Street 1:950 TECHNOLOGY WAY STE 250
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-5366
Practice Address - Country:US
Practice Address - Phone:847-584-3959
Practice Address - Fax:847-584-3522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology