MEDICARE: ASHUTOSH H 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	207R00000X	Internal Medicine Physician	106434	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588735575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHUTOSH H PATEL MD

Provider Business Mailing Address
First Line	:	1455 US HIGHWAY 61 STE B
Second Line	:
City	:	FESTUS
State	:	MO
Zip	:	63028-4158
Country	:	US
Telephone Number	:	636-937-1528
Fax Number	:	636-933-2885

Provider Business Practice Location Address
First Line	:	1455 US HIGHWAY 61 STE B
Second Line	:
City	:	FESTUS
State	:	MO
Zip	:	63028-4158
Country	:	US
Telephone Number	:	636-937-1528
Fax Number	:	636-933-2885

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	12/23/2025

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Directions to “ ASHUTOSH H PATEL MD” Practice Location

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