MEDICARE: DR. KARISHMA DUSHYANT PATEL DDS

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	122300000X	Dentist	104470	CA
2	122300000X	Dentist	019.032364	IL
3	122300000X	Dentist	7737	NV

General Provider Information

NPI Number	:	1497396154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARISHMA DUSHYANT PATEL DDS

Provider Business Mailing Address
First Line	:	3220 S DURANGO DR STE B2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-4410
Country	:	US
Telephone Number	:	951-489-9391
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 S DURANGO DR STE B2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-4410
Country	:	US
Telephone Number	:	951-489-9391
Fax Number	:

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

Provider Enumeration Date	:	10/03/2019
Last Update Date	:	03/03/2025

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