MEDICARE: KHUSHI PATEL

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	106S00000X	Behavior Technician	RBT-25-491655	SC

General Provider Information

NPI Number	:	1447187745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHUSHI PATEL

Provider Business Mailing Address
First Line	:	14 FAWN HILL DR
Second Line	:
City	:	ANDERSON
State	:	SC
Zip	:	29621-3781
Country	:	US
Telephone Number	:	912-590-5019
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 FAWN HILL DR
Second Line	:
City	:	ANDERSON
State	:	SC
Zip	:	29621-3781
Country	:	US
Telephone Number	:	912-590-5019
Fax Number	:

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

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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Directions to “ KHUSHI PATEL ” Practice Location

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