Individual
NIKUNJKUMAR I PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 E OWEN K GARRIOTT ROAD, ENID, OK 73701-5712
(580) 297-5166
(580) 237-1340
Mailing address
367 S GULPH RD, ATN :IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(580) 297-5166
(580) 237-1340
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
CP203988
OR
207RC0000X
Cardiovascular Disease Physician
L7099
TX
207RI0011X
Interventional Cardiology Physician
38037
OK
207RI0011X
Interventional Cardiology Physician
L7099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101976100
FIRSTCARE
—
05
—
162981801
—
TX
01
—
1P9634
PTAN
OK
05
—
200982470A
—
OK
01
—
80676S
BCBS
—
01
—
P00068036
RAILROAD MEDICARE
—
Enumeration date
09/20/2006
Last updated
06/14/2021
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