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NPI Code Detail

MEDICARE: MR. SHAILESH V PATEL M.D.

MEDICARE: MR. SHAILESH V 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
1174400000XSpecialist13740MS

Other Identifiers

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

General Provider Information

NPI Number : 1316911837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SHAILESH V PATEL M.D.
Provider Business Mailing Address
First Line : 8613 MS HIGHWAY 12
Second Line : SUITE #1
City : ACKERMAN
State : MS
Zip : 39735-8917
Country : US
Telephone Number : 662-456-5008
Fax Number : 662-456-5417
Provider Business Practice Location Address
First Line : 8613 MS HIGHWAY 12
Second Line :
City : ACKERMAN
State : MS
Zip : 39735-8917
Country : US
Telephone Number : 662-285-9460
Fax Number : 662-285-9324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 01/26/2017

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