Individual
DR. KUNAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8300
(262) 577-8414
Mailing address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8300
(262) 577-8414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036141107
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036141107
IL
207RP1001X
Pulmonary Disease Physician
Primary
036141107
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82697-20
MEDICAL LICENSE
WI
Enumeration date
06/27/2013
Last updated
01/24/2024
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