DR. Mitsu Patel

NPI #1477348852 in Mount Vernon, Illinois

Provider Information

NPI Number: 1477348852
Entity Type: Individual
Name: DR. Mitsu Patel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Apr 14, 2025
Last Updated: Jul 29, 2025

Practice Location

Address: 4201 BROADWAY ST STE C
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2282
Phone: (618) 241-0353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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