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NPI Code Detail

MEDICARE: DR. KAUSHIKKUMAR KANTILAL PATEL M.D.

MEDICARE: DR. KAUSHIKKUMAR KANTILAL PATEL M.D.
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
1207R00000XInternal Medicine Physician20319MS
2208M00000XHospitalist Physician20319MS
3208M00000XHospitalist PhysicianME118540FL
4207R00000XInternal Medicine PhysicianME118540FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033374822
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAUSHIKKUMAR KANTILAL PATEL M.D.
Provider Business Mailing Address
First Line : 805 CENTURY MEDICAL DR
Second Line : SUITE C
City : TITUSVILLE
State : FL
Zip : 32796-2100
Country : US
Telephone Number : 321-268-6264
Fax Number : 321-268-6360
Provider Business Practice Location Address
First Line : 951 N WASHINGTON AVE
Second Line : PARRISH MEDICAL GROUP. HOSPITALIST DEPT
City : TITUSVILLE
State : FL
Zip : 32796-2163
Country : US
Telephone Number : 321-268-6111
Fax Number : 321-268-6360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2008
Last Update Date : 05/08/2015

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