Organization
K M PATEL MD INC & ASSOC
Active
Other names
Kanaiyalal M Patel MD
Organization subpart
No
Provider details
NPI number
Authorized official
KANAIYALAL M PATEL MD (PRESIDENT)
(440) 473-0525
Entity
Organization
Contact information
Practice address
44 BLAINE ST, BEDFORD, OH 44146
(440) 735-3543
Mailing address
6817 WILDWOOD TRAIL, MAYFIELD VILLAGE, OH 44143
(440) 473-0525
(440) 473-0525
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35041383P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000165529
ANTHEM
OH
05
—
0498831
—
OH
01
—
125462490
WORKERS COMPENSATION
OH
Enumeration date
10/24/2006
Last updated
02/03/2012
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