Individual
KIRAN R PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 DIVISION ST, STE 306, SOUTH CHARLESTON, WV 25309-1455
(304) 766-4300
(304) 766-4337
Mailing address
108 E RIDGE RD, CHARLESTON, WV 25314-1666
(304) 344-0850
(304) 766-4337
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17053
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092257000
—
WV
Enumeration date
03/23/2006
Last updated
12/19/2012
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