MEDICARE: NAVIN P PATEL MD

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	2084P0805X	Geriatric Psychiatry Physician	05691R	LA

General Provider Information

NPI Number	:	1356328074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAVIN P PATEL MD

Provider Business Mailing Address
First Line	:	6422 SANDSTONE AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-5116
Country	:	US
Telephone Number	:	225-767-4872
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 FLORIDA BLVD
Second Line	:	ROOM 4613
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-3842
Country	:	US
Telephone Number	:	225-387-7724
Fax Number	:	225-381-6922

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	07/08/2007

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