Individual
SUBHASHCHANDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 361-6617
(502) 361-6637
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 361-6617
(502) 361-6637
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18677
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200437760A
—
IN
05
—
64024912
—
KY
Enumeration date
06/08/2006
Last updated
11/21/2011
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