Organization
PATEL & PATEL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRAN R PATEL M.D. (OWNER)
(304) 766-4300
Entity
Organization
Contact information
Practice address
401 DIVISION ST STE 306, SOUTH CHARLESTON, WV 25309-1455
(304) 766-4300
(304) 766-4337
Mailing address
401 DIVISION ST STE 306, SOUTH CHARLESTON, WV 25309-1455
(304) 766-4300
(304) 766-4337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18983
WV
207V00000X
Obstetrics & Gynecology Physician
Primary
17053
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055016000
—
WV
05
—
0092257000
—
WV
Enumeration date
10/23/2006
Last updated
12/19/2012
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