Healthcare Provider Details

I. General information

NPI: 1538188560
Provider Name (Legal Business Name): KALPANA D. PATEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 12/20/2019
Certification Date: 12/20/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 WEHRLE DR
BUFFALO NY
14225
US

IV. Provider business mailing address

65 WEHRLE DR
BUFFALO NY
14225
US

V. Phone/Fax

Practice location:
  • Phone: 716-833-2213
  • Fax: 716-833-2244
Mailing address:
  • Phone: 716-833-2213
  • Fax: 716-833-2244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number113685
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number113685
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number113685
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code2083T0002X
TaxonomyMedical Toxicology (Preventive Medicine) Physician
License Number113685
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: