MEDICARE: MRS. KUNTHAVAI S. 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	174400000X	Specialist	MS13688	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891776530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KUNTHAVAI S. PATEL M.D.

Provider Business Mailing Address
First Line	:	208 COUNTRY CLUB ROAD
Second Line	:
City	:	HOUSTON
State	:	MS
Zip	:	38851
Country	:	US
Telephone Number	:	662-456-3437
Fax Number	:	662-456-2070

Provider Business Practice Location Address
First Line	:	208 COUNTRY CLUB ROAD
Second Line	:
City	:	HOUSTON
State	:	MS
Zip	:	38851
Country	:	US
Telephone Number	:	662-456-3437
Fax Number	:	662-456-2070

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	01/24/2019

Similar Medicare Providers

1235061847 — LOTTS OF LOVE
Practice Location Address:

108 PARKER AVE
HOUSTON, MS
38851-1003

Practice Phone: 662-809-5213
Practice Fax:

1013990530 — MISSISSIPPI STATE DEPARTMENT OF HEALTH
Practice Location Address:

797 S JACKSON ST , ROUTE 1 BOX 1049
HOUSTON, MS
38851-7662

Practice Phone: 662-456-3791
Practice Fax: 662-456-3979

1205802584 — EDWARD KIRKHAM GORE MD
Practice Location Address:

1002 E MADISON ST
HOUSTON, MS
38851-2417

Practice Phone: 662-456-2037
Practice Fax: 662-456-1006

1912965617 — MED EXPRESS OF MISSISSPPI
Practice Location Address:

121A LANCASTER CIR
HOUSTON, MS
38851-8767

Practice Phone: 205-695-9800
Practice Fax: 205-695-7677

1265486658 — HOMETOWN HEALTHCARE INC.
Practice Location Address:

107 E WASHINGTON ST
HOUSTON, MS
38851-2225

Practice Phone: 662-456-4630
Practice Fax: 662-456-2262

1205881307 — ANITA J FALLS CFNP
Practice Location Address:

1002 E MADISON ST STE 2
HOUSTON, MS
38851-2428

Practice Phone: 662-456-4277
Practice Fax: 662-456-9589

Directions to “ MRS. KUNTHAVAI S. PATEL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.