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NPI Code Detail

MEDICARE: DR. SHIVANI PATEL DC

MEDICARE: DR. SHIVANI PATEL DC
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
1111N00000XChiropractor04189MD

General Provider Information

NPI Number : 1326827544
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHIVANI PATEL DC
Provider Business Mailing Address
First Line : 14528 ENGLISH PARK CIR UNIT 203
Second Line : APT. 203
City : LOUISVILLE
State : KY
Zip : 40299-6458
Country : US
Telephone Number : 919-452-9280
Fax Number :
Provider Business Practice Location Address
First Line : 4602 SOUTHERN PKWY STE 1D
Second Line :
City : LOUISVILLE
State : KY
Zip : 40214-1528
Country : US
Telephone Number : 502-434-1442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2023
Last Update Date : 01/30/2026

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