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General NPI Number Information
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NPI Number | 1821550294
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Entity Type | Individual
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Provider Name | KUSH PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 40 E PUTNAM AVE
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City | COS COB
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State | CT
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Zip | 06807-2600
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Country | US
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Telephone | 203-489-5442
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Fax |
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Provider Business Mailing Address
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Address Line | 40 E PUTNAM AVE
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City | COS COB
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State | CT
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Zip | 06807-2600
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Country | US
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Telephone | 646-652-1791
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Fax | 888-981-1828
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 82153
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 318554
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License Number State | NY
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