MEDICARE: DR. NEAL KAUSHIK PATEL DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	07001397A	IN

General Provider Information

NPI Number	:	1427579002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEAL KAUSHIK PATEL DPM

Provider Business Mailing Address
First Line	:	PO BOX 27
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-0027
Country	:	US
Telephone Number	:	317-742-6575
Fax Number	:

Provider Business Practice Location Address
First Line	:	8325 S EMERSON AVE STE B1
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-8559
Country	:	US
Telephone Number	:	317-742-6575
Fax Number	:

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

Provider Enumeration Date	:	07/04/2017
Last Update Date	:	10/26/2022

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