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NPI Code Detail

MEDICARE: DR. ASHVIN D. PATEL M.D.

MEDICARE:  DR. ASHVIN D. PATEL  M.D.
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
1207P00000XEmergency Medicine Physician106711MO
2207R00000XInternal Medicine Physician106711MO

Other Identifiers

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

General Provider Information

NPI Number : 1548235419
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHVIN D. PATEL M.D.
Provider Business Mailing Address
First Line : 1307 STONEGATE ST
Second Line :
City : FARMINGTON
State : MO
Zip : 63640-1070
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 611 W MAIN ST
Second Line :
City : FREDERICKTOWN
State : MO
Zip : 63645-1111
Country : US
Telephone Number : 573-783-3341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 09/17/2010

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Directions to “ DR. ASHVIN D. PATEL M.D.” Practice Location

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