Healthcare Provider Details

I. General information

NPI: 1730818162
Provider Name (Legal Business Name): MILAN PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 N CARRIAGE PKWY
WICHITA KS
67208-4500
US

IV. Provider business mailing address

818 N CARRIAGE PKWY
WICHITA KS
67208-4500
US

V. Phone/Fax

Practice location:
  • Phone: 316-274-2250
  • Fax:
Mailing address:
  • Phone: 316-274-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number11024079A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number04-53479
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4351049429
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: