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Deeti R Patel, OD

Optometrist in Auburn, IN. Individual provider (NPI-1).

NPI number1164036786
StatusActive
Last updated in NPPESSep 5, 2023

Details

NPI
1164036786
Entity type
Individual (NPI-1)
Name
Deeti R Patel
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2020
Certification date
Sep 5, 2023
Last updated
Sep 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist18004416AINYes
152W00000X Optometrist046.011417IL

Practice location

1212 N Main St
Auburn, IN 46706-1232

Phone 260-925-1916

Mailing address

1212 N Main St
Auburn, IN 46706-1232

Phone 260-925-1916

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