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NPI Code Detail

MEDICARE: KAVITA PATEL M.D.

MEDICARE: KAVITA PATEL M.D.
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
1207R00000XInternal Medicine Physician81303GA

General Provider Information

NPI Number : 1700143849
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAVITA PATEL M.D.
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD
Second Line : SUITE 400
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6135 BARFIELD RD STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30328-4308
Country : US
Telephone Number : 404-256-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2012
Last Update Date : 11/20/2020

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Directions to “ KAVITA PATEL M.D.” Practice Location

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