MEDICARE: MAHESH PATEL, MD,PC

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	2084P0800X	Psychiatry Physician	MD 103040	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720063134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAHESH PATEL, MD,PC

Provider Business Mailing Address
First Line	:	PO BOX 26124
Second Line	:
City	:	SHAWNEE MISSION
State	:	KS
Zip	:	66225-6124
Country	:	US
Telephone Number	:	913-685-0622
Fax Number	:	913-685-0622

Provider Business Practice Location Address
First Line	:	1509 NE PARVIN RD
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-2304
Country	:	US
Telephone Number	:	816-283-3396
Fax Number	:	913-685-0622

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MAHESH PATEL
Credential	:	MD
Telephone Number	:	913-685-0622

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	10/09/2014

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