Provider Demographics
NPI:1285935734
Name:PATEL, NIHAR ARVIND (MD)
Entity type:Individual
Prefix:DR
First Name:NIHAR
Middle Name:ARVIND
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 UNITY PLACE
Mailing Address - Street 2:SUITE 345
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-5761
Mailing Address - Country:US
Mailing Address - Phone:765-446-5111
Mailing Address - Fax:765-838-0972
Practice Address - Street 1:1510 COLUMBUS AVE STE 130
Practice Address - Street 2:
Practice Address - City:WASHINGTON COURT HOUSE
Practice Address - State:OH
Practice Address - Zip Code:43160-1986
Practice Address - Country:US
Practice Address - Phone:740-333-2878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-14
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT196160207R00000X
PAMD446202207RH0003X
OH35.133042207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102741774Medicaid
IN300046055Medicaid
OH0326668Medicaid