IndividualActive
Nitin Patel, MD
NPI 1144267865 · Neurology with Special Qualifications in Child Neurology Physician · Columbia, MO
Provider details
- NPI number
- 1144267865
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD113716 (MO)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 036-135269 (IL)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1100 Club Village Dr
Ste 102
Columbia, MO 65203-4411
Phone: (573) 447-4400
Fax: (573) 303-0140
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Club Village Dr
Columbia, MO 65203-4411
Additional practice locations (1)
- 305 W Jackson St Ste 103Carbondale, IL 62901-1474Phone: (618) 351-4972Fax: (618) 351-6522
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2021-01-29
- Certified
- 2021-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.