Individual
MRS. KUNTHAVAI S. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
208 COUNTRY CLUB ROAD, HOUSTON, MS 38851
(662) 456-3437
(662) 456-2070
Mailing address
208 COUNTRY CLUB ROAD, HOUSTON, MS 38851
(662) 456-3437
(662) 456-2070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MS13688
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112962
—
MS
Enumeration date
11/09/2005
Last updated
01/24/2019
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