Individual
DR. VIPUL RAMANBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
421 ADAM SHEPHERD PKWY, SUITE 100, SHEPHERDSVILLE, KY 40165-6640
(502) 543-1553
(502) 543-1558
Mailing address
421 ADAM SHEPHERD PKWY, SUITE 100, SHEPHERDSVILLE, KY 40165-6640
(502) 543-1553
(502) 543-1558
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00331
KY
213ER0200X
Radiology Podiatrist
00331
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00331
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000783180
ANTHEM
KY
01
—
50043984
PASSPORT
KY
05
—
7100059570
—
KY
01
—
9673151
AETNA
KY
01
—
P01098974
RR MEDICARE
KY
Enumeration date
10/11/2006
Last updated
03/13/2013
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