MEDICARE: MONILKUMAR PATEL DPT

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	225100000X	Physical Therapist	14847	TN

General Provider Information

NPI Number	:	1770365710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONILKUMAR PATEL DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8644 E BRAINERD RD STE 100
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-8313
Country	:	US
Telephone Number	:	423-933-2346
Fax Number	:

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

Provider Enumeration Date	:	10/16/2023
Last Update Date	:	10/16/2023

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Directions to “ MONILKUMAR PATEL DPT” Practice Location

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