MEDICARE: KOKILA PATEL, INC

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1669466272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOKILA PATEL, INC

Provider Business Mailing Address
First Line	:	2805 WHIPPLE RD
Second Line	:
City	:	UNION CITY
State	:	CA
Zip	:	94587-1233
Country	:	US
Telephone Number	:	510-441-8906
Fax Number	:	510-441-8908

Provider Business Practice Location Address
First Line	:	2805 WHIPPLE RD
Second Line	:
City	:	UNION CITY
State	:	CA
Zip	:	94587-1233
Country	:	US
Telephone Number	:	510-441-8906
Fax Number	:	510-441-8908

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MR. VINOD R PATEL
Credential	:
Telephone Number	:	510-441-8906

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	08/13/2009

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Directions to “KOKILA PATEL, INC ” Practice Location

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