Organization
KUNJ GOVIND PATEL MD LLC, A SERIES LLC
Active
Other names
Center for Regenerative and Interventional Spine and Sports Pain
Organization subpart
No
Provider details
NPI number
Authorized official
KUNJ GOVIND PATEL MD (DIRECTOR)
(314) 282-7246
Entity
Organization
Contact information
Practice address
10435 CLAYTON RD STE 110, FRONTENAC, MO 63131-2930
(314) 312-2862
Mailing address
3909 CASTELLINA WAY, MANTECA, CA 95337-8454
(314) 282-7246
(301) 579-4284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
12/24/2019
Last updated
01/10/2022
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