Healthcare Provider Details

I. General information

NPI: 1255434684
Provider Name (Legal Business Name): KIRIT S PATEL MD CHARTERED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 11/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 NORTH MUR-LEN ROAD SUITE 10B
OLATHE KS
66062-5416
US

IV. Provider business mailing address

601 N MUR LEN ROAD SUITE 10 B
OLATHE KS
66062-5416
US

V. Phone/Fax

Practice location:
  • Phone: 913-829-8800
  • Fax: 913-829-8839
Mailing address:
  • Phone: 913-829-8800
  • Fax: 913-829-8839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number0420772
License Number StateKS

VIII. Authorized Official

Name: DR. KIRITKUMAR SURESHKUMAR PATEL
Title or Position: MD OWNER PRESIDENT
Credential: MD
Phone: 913-829-8800