Individual
KAUSHAL P PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2617 MITCHAM DR STE 102, TALLAHASSEE, FL 32308-5479
(850) 878-1171
(850) 942-1291
Mailing address
2617 MITCHAM DR STE 102, TALLAHASSEE, FL 32308-5479
(850) 878-1171
(850) 942-1291
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME101436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000087800
—
FL
05
—
060754100
—
FL
Enumeration date
06/03/2008
Last updated
02/05/2020
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