Healthcare Provider Details

I. General information

NPI: 1699018861
Provider Name (Legal Business Name): KHUSBU PATEL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2013
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 GRANDVIEW PKWY STE 101
BIRMINGHAM AL
35243-2065
US

IV. Provider business mailing address

3570 GRANDVIEW PKWY STE 101
BIRMINGHAM AL
35243-2065
US

V. Phone/Fax

Practice location:
  • Phone: 205-354-2100
  • Fax: 866-343-6766
Mailing address:
  • Phone: 855-397-0197
  • Fax: 800-272-6512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4652
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number1553
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number4652
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: