Organization
SURYCHANDRA S PATEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURYACHANDRA S PATEL M.D. (PHYSICIAN)
(270) 547-7161
Entity
Organization
Contact information
Practice address
205 W. US 60, IRVINGTON, KY 40146
(270) 547-7161
(270) 547-7163
Mailing address
PO BOX 147, IRVINGTON, KY 40146-0147
(270) 547-7161
(270) 547-7163
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20984
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000058825
ANTHEM
KY
01
—
2447302001
PASSPORT ADVANTAGE
KY
01
—
50006015
PASSPORT
KY
01
—
DA0854
RAILROAD MEDICARE
KY
Enumeration date
05/18/2007
Last updated
05/12/2010
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