MEDICARE: KARISHMA PATEL YAKKALA D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	11572	TX

General Provider Information

NPI Number	:	1225335839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARISHMA PATEL YAKKALA D.C.

Provider Business Mailing Address
First Line	:	6943 BLUEGRASS RUN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-2755
Country	:	US
Telephone Number	:	281-221-2661
Fax Number	:	281-494-1017

Provider Business Practice Location Address
First Line	:	600 DIVISION AVE
Second Line	:	SUITE G
City	:	SAN ANTONIO
State	:	TX
Zip	:	78214-1350
Country	:	US
Telephone Number	:	210-332-9005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2011
Last Update Date	:	04/09/2015

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Directions to “ KARISHMA PATEL YAKKALA D.C.” Practice Location

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