MEDICARE: DR. NIMESH VINOD 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	2085R0202X	Diagnostic Radiology Physician	Q8769	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2085R0202X	Diagnostic Radiology Physician	2026004637	MO

General Provider Information

NPI Number	:	1740505288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIMESH VINOD PATEL M.D

Provider Business Mailing Address
First Line	:	70 DOCTORS PARK
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63703-4928
Country	:	US
Telephone Number	:	573-335-6671
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 DOCTORS PARK
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63703-4928
Country	:	US
Telephone Number	:	573-335-6671
Fax Number	:

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

Provider Enumeration Date	:	03/27/2010
Last Update Date	:	03/12/2026

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