MEDICARE: DR. KASHYAP D. PATEL D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	15582	MD

General Provider Information

NPI Number	:	1013205467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KASHYAP D. PATEL D.D.S

Provider Business Mailing Address
First Line	:	10230 NEW HAMPSHIRE AVE STE 101
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1422
Country	:	US
Telephone Number	:	317-513-5437
Fax Number	:

Provider Business Practice Location Address
First Line	:	10230 NEW HAMPSHIRE AVE STE 101
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1422
Country	:	US
Telephone Number	:	317-513-5437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2011
Last Update Date	:	01/09/2024

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