Provider Demographics
NPI:1316706559
Name:PATEL, MILAN RAJENDRA (BS, BA, MD)
Entity type:Individual
Prefix:
First Name:MILAN
Middle Name:RAJENDRA
Last Name:PATEL
Suffix:
Gender:
Credentials:BS, BA, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 W. WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-0099
Mailing Address - Country:US
Mailing Address - Phone:414-805-7400
Mailing Address - Fax:414-805-7300
Practice Address - Street 1:9200 W. WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-0099
Practice Address - Country:US
Practice Address - Phone:414-805-7400
Practice Address - Fax:414-805-7300
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program