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NPI Code Detail

MEDICARE: KRISHNA PATEL

MEDICARE:   KRISHNA  PATEL
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1710513759
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISHNA PATEL
Provider Business Mailing Address
First Line : 4014 SHADY FORGE TRL
Second Line :
City : ARLINGTON
State : TX
Zip : 76005-4543
Country : US
Telephone Number : 817-821-3889
Fax Number :
Provider Business Practice Location Address
First Line : 4014 SHADY FORGE TRL
Second Line :
City : ARLINGTON
State : TX
Zip : 76005-4543
Country : US
Telephone Number : 817-821-3889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2020
Last Update Date : 03/22/2020

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Directions to “ KRISHNA PATEL ” Practice Location

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