Individual
PRADIP D PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9702 STONESTREET RD, STE 100, LOUISVILLE, KY 40272-6809
(502) 588-0610
(502) 588-0611
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0610
(502) 588-0611
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29724
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200080580
—
IN
05
—
64297245
—
KY
Enumeration date
12/07/2005
Last updated
09/05/2014
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