Healthcare Provider Details

I. General information

NPI: 1235491010
Provider Name (Legal Business Name): KHUSHBU PATEL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2012
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7341 W 133RD ST
OVERLAND PARK KS
66213-4750
US

IV. Provider business mailing address

15710 W. 135TH SUITE 200
OLATHE KS
66062
US

V. Phone/Fax

Practice location:
  • Phone: 913-297-7472
  • Fax: 913-764-0336
Mailing address:
  • Phone: 913-297-7472
  • Fax: 913-764-0336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number05-38433
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: