Organization
MAHENDRA M PATEL MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHENDRA M PATEL MD (PRESIDENT)
(270) 982-5112
Entity
Organization
Contact information
Practice address
912 WOODLAND DR, SUITE B, ELIZABETHTOWN, KY 42701-2795
(270) 982-5112
(270) 982-5111
Mailing address
912 WOODLAND DR, SUITE B, ELIZABETHTOWN, KY 42701-2795
(270) 982-5112
(270) 982-5111
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
178718
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052298
PASSPORT
KY
05
—
64-178718
—
KY
Enumeration date
01/04/2016
Last updated
01/04/2016
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