Individual
SANDESH R PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 HOSPITAL RD, SUITE B, WHITESBURG, KY 41858-7627
(606) 633-6255
(606) 633-6236
Mailing address
214 HOSPITAL RD, SUITE B, WHITESBURG, KY 41858-7627
(606) 633-6255
(606) 633-6236
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
36248
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000178786
BCBS OF KY
KY
01
—
000000510294
HEART CENTER LLC -BCBS OF KY PIN #
KY
01
—
000000584948
BCBS- CUMBERLAND CLINIC
KY
05
—
010016151
—
VA
05
—
64017890
—
KY
Enumeration date
03/25/2006
Last updated
09/20/2012
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