Provider Demographics
NPI:1871236760
Name:PATEL, NEATHIE MINESH (DPM)
Entity type:Individual
Prefix:
First Name:NEATHIE
Middle Name:MINESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39141
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-0141
Mailing Address - Country:US
Mailing Address - Phone:317-318-9926
Mailing Address - Fax:
Practice Address - Street 1:1769 MELODY LN
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-1192
Practice Address - Country:US
Practice Address - Phone:317-937-8503
Practice Address - Fax:833-906-2372
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-18
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IN07001488A213E00000X
IN07001488B213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1205417177OtherPRACTICE