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NPI Code Detail

MEDICARE: SHIRAZ KHUSHROO PATEL MD

MEDICARE: SHIRAZ KHUSHROO 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
1207X00000XOrthopaedic Surgery Physician40786MN
2207X00000XOrthopaedic Surgery Physician41151KY

Other Identifiers

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

General Provider Information

NPI Number : 1699759449
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRAZ KHUSHROO PATEL MD
Provider Business Mailing Address
First Line : 3530 LONE OAK RD
Second Line : SUITE A
City : PADUCAH
State : KY
Zip : 42003-5752
Country : US
Telephone Number : 270-554-0505
Fax Number : 270-554-0905
Provider Business Practice Location Address
First Line : 200 CLINT HILL BLVD
Second Line :
City : PADUCAH
State : KY
Zip : 42001-6768
Country : US
Telephone Number : 270-442-9461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 01/24/2024

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Directions to “ SHIRAZ KHUSHROO PATEL MD” Practice Location

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