MEDICARE: KRISHNA BHARAT 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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	270881	NY

General Provider Information

NPI Number	:	1720387236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISHNA BHARAT PATEL M.D.

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE MAIL BOX J4-1
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE MAIL BOX J4-1
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1846
Country	:	US
Telephone Number	:	631-398-3133
Fax Number	:

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

Provider Enumeration Date	:	03/23/2011
Last Update Date	:	05/05/2025

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