Individual
GHANSHYAMBHAI K PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
518 SW WINDSOR DR, LAKE CITY, FL 32024-3540
(859) 492-5920
(386) 752-8991
Mailing address
518 SW WINDSOR DR, LAKE CITY, FL 32024-3540
(859) 492-5920
(386) 752-8991
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31586
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31586
—
KY
01
—
P00022291
RR MEDICARE
KY
Enumeration date
06/27/2006
Last updated
10/21/2011
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