Healthcare Provider Details

I. General information

NPI: 1811435878
Provider Name (Legal Business Name): PARTH KAMLESH PATEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 PENNSYLVANIA PKWY
CARMEL IN
46280-2301
US

IV. Provider business mailing address

1120 W. MICHIGAN ST. GATCH HALL CL365
INDIANAPOLIS IN
46202
US

V. Phone/Fax

Practice location:
  • Phone: 317-944-2529
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number3535
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number02006346A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number02006346A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number02006346A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: