Individual
DR. KAUSHAL NARAYANBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
(765) 838-4698
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01070262A
IN
208M00000X
Hospitalist Physician
01070262A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000734345
ANTHEM PROVIDER PIN NUMBER
IN
05
—
201036260
—
IN
Enumeration date
07/27/2006
Last updated
12/16/2021
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