Organization
KISHOR PATEL MD
Active
Organization
KISHOR PATEL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHOR PATEL MD (PHYSICIAN)
(440) 333-5824
Entity
Organization
Contact information
Practice address
21851 CENTER RIDGE RD, SUITE 405, ROCKY RIVER, OH 44116-3976
(440) 333-5822
(440) 333-5824
Mailing address
21851 CENTER RIDGE RD, SUITE 405, ROCKY RIVER, OH 44116-3976
(440) 333-5822
(440) 333-5824
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
59487
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0814855
—
OH
Enumeration date
09/13/2007
Last updated
10/31/2012
Update your record
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