Individual
MR. KUSH GHANSHYAM PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
233 BROAD ST STE 1, MILFORD, CT 06460-3549
(475) 355-0962
Mailing address
233 BROAD ST STE 1, MILFORD, CT 06460-3549
(203) 810-4151
(203) 783-9689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6471
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2023
Last updated
04/30/2024
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