MEDICARE: DR. NARESHKUMAR G 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
1	207VG0400X	Gynecology Physician	14640	OK

General Provider Information

NPI Number	:	1740473933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NARESHKUMAR G PATEL M.D.

Provider Business Mailing Address
First Line	:	6112 NW 63RD ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-7526
Country	:	US
Telephone Number	:	404-722-9500
Fax Number	:	405-722-9516

Provider Business Practice Location Address
First Line	:	6112 NW 63RD ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-7526
Country	:	US
Telephone Number	:	404-722-9500
Fax Number	:	405-722-9516

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

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	08/22/2007

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