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Individual

KANAK R PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 MEDICAL PARKWAY, ACUTE CARE PAVILION, ANNAPOLIS, MD 21401-3280
(443) 481-1000
(443) 481-1687
Mailing address
P.O. BOX 64916, BALTIMORE, MD 21264-4916
(443) 481-6481
(443) 481-6515

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D72199
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD037933
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
440074700
MD
01
607156012
DEPT OF LABOR/BLACK LUNG
01
97489501
BCBS MD
01
V8140015
BCBS DC
Enumeration date
06/04/2009
Last updated
11/14/2011
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