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NPI Code Detail

MEDICARE: DR. DEEPESH RUBIN PATEL M.D.

MEDICARE: DR. DEEPESH RUBIN 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
1207R00000XInternal Medicine Physician025128LA

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 : 1588681159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEEPESH RUBIN PATEL M.D.
Provider Business Mailing Address
First Line : 15550 HIGHLAND RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-6504
Country : US
Telephone Number : 225-224-8690
Fax Number : 225-615-7704
Provider Business Practice Location Address
First Line : 2840 FLORIDA BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-2721
Country : US
Telephone Number : 225-224-2402
Fax Number : 225-367-4938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 11/06/2023

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