Organization
KISHOR PATEL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHOR PATEL MD (DIRECT OWNER)
(216) 262-2050
Entity
Organization
Contact information
Practice address
21851 CENTER RIDGE RD, 405, ROCKY RIVER, OH 44116-3976
(440) 333-5822
(440) 333-5824
Mailing address
21851 CENTER RIDGE RD, 405, ROCKY RIVER, OH 44116-3976
(440) 333-5822
(440) 333-5824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0814855
—
OH
Enumeration date
03/18/2021
Last updated
09/20/2023
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