Organization
KPA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT M PATEL M.D. (OWNER)
(405) 921-2503
Entity
Organization
Contact information
Practice address
8997 E DESERT COVE AVE, FL 1, SCOTTSDALE, AZ 85260-6742
(480) 664-3317
(480) 393-7665
Mailing address
7436 E MAIN ST STE 2, MESA, AZ 85207-9338
(480) 325-9600
(480) 493-5336
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
CRNA0842
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024942
—
AZ
Enumeration date
12/01/2014
Last updated
09/02/2022
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