MEDICARE: PATEL MEDICAL ASSOCIATES LLC

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	207R00000X	Internal Medicine Physician	MD071045L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00078916	OTHER	PA	RAILROAD MEDICARE
11	075827	OTHER	PA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	10933852	OTHER	PA	CIGNA
3	229426	OTHER	PA	HEALTH AMERICA
4	P002253	OTHER	PA	GATEWAY HEALTH PLAN
5	210966	OTHER	PA	UPMC HEALTH PLAN
6	3378423	OTHER	PA	AETNA HEALTH PLAN
7	149266	OTHER	PA	UNISON MED PLUS
9	150130	OTHER	PA	UNISON MED PLUS GROUP NUM
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	155575	OTHER	PA	UMWA UNITED MINE WORKERS
13	1545760	OTHER	PA	BLUE SHIELD
14	229426	OTHER	PA	ADVANTRA

General Provider Information

NPI Number	:	1053331249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATEL MEDICAL ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	2409 BROWNSVILLE ROAD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-4503
Country	:	US
Telephone Number	:	412-886-1628
Fax Number	:	412-886-1643

Provider Business Practice Location Address
First Line	:	2409 BROWNSVILLE ROAD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-4503
Country	:	US
Telephone Number	:	412-886-1628
Fax Number	:	412-886-1643

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. KAUSHIK P PATEL
Credential	:	M.D.
Telephone Number	:	412-886-1628

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	08/02/2021

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Directions to “PATEL MEDICAL ASSOCIATES LLC ” Practice Location

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