Individual
DR. KAUSHIKKUMAR KANTILAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
951 N WASHINGTON AVE, PARRISH MEDICAL GROUP. HOSPITALIST DEPT, TITUSVILLE, FL 32796-2163
(321) 268-6111
(321) 268-6360
Mailing address
805 CENTURY MEDICAL DR, SUITE C, TITUSVILLE, FL 32796-2100
(321) 268-6264
(321) 268-6360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20319
MS
207R00000X
Internal Medicine Physician
ME118540
FL
208M00000X
Hospitalist Physician
20319
MS
208M00000X
Hospitalist Physician
Primary
ME118540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010870200
—
FL
05
—
06452802
—
MS
Enumeration date
07/22/2008
Last updated
05/08/2015
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