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NPI Code Detail

MEDICARE: KISHEN PATEL DO

MEDICARE: KISHEN PATEL DO
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 Physician2026021249MO
2207RC0000XCardiovascular Disease Physician2026021249MO
3390200000XStudent in an Organized Health Care Education/Training Program
4208M00000XHospitalist Physician7408OK
5208D00000XGeneral Practice Physician7408OK
6207R00000XInternal Medicine Physician7408OK
7208M00000XHospitalist Physician2026021249MO

General Provider Information

NPI Number : 1740817519
Entity Type Code : Individual
Provider Name (Legal Business Name) : KISHEN PATEL DO
Provider Business Mailing Address
First Line : 1111 W 17TH ST
Second Line :
City : TULSA
State : OK
Zip : 74107-1886
Country : US
Telephone Number : 252-412-9607
Fax Number :
Provider Business Practice Location Address
First Line : 744 W 9TH ST
Second Line :
City : TULSA
State : OK
Zip : 74127-9907
Country : US
Telephone Number : 918-599-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 06/03/2026

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Directions to “ KISHEN PATEL DO” Practice Location

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