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NPI Code Detail

MEDICARE: KAJAL B PATEL NP

MEDICARE: KAJAL B PATEL NP
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
1363LF0000XFamily Nurse Practitioner71017929AIN

General Provider Information

NPI Number : 1316888563
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAJAL B PATEL NP
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5550 S EAST ST STE 1
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-1979
Country : US
Telephone Number : 317-780-4080
Fax Number : 317-780-4088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2026
Last Update Date : 06/03/2026

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Directions to “ KAJAL B PATEL NP” Practice Location

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