Individual
SHIRAZ KHUSHROO PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CLINT HILL BLVD, PADUCAH, KY 42001-6768
(270) 442-9461
Mailing address
3530 LONE OAK RD, SUITE A, PADUCAH, KY 42003-5752
(270) 554-0505
(270) 554-0905
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
40786
MN
207X00000X
Orthopaedic Surgery Physician
Primary
41151
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
957519700
—
MN
Enumeration date
12/05/2005
Last updated
01/24/2024
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