MEDICARE: DR. VIKRAM P PATEL MD

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	207L00000X	Anesthesiology Physician	MD37757	TN
2	207LP3000X	Pediatric Anesthesiology Physician	MD37757	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417922675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIKRAM P PATEL MD

Provider Business Mailing Address
First Line	:	2200 CHILDRENS WAY STE 3115
Second Line	:	DIVISION OF PEDIATRIC ANESTHESIA
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0005
Country	:	US
Telephone Number	:	615-936-0023
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CHILDRENS WAY STE 3115
Second Line	:	DIVISION OF PEDIATRIC ANESTHESIA
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0005
Country	:	US
Telephone Number	:	615-936-0023
Fax Number	:

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

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	05/22/2014

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