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NPI Code Detail

MEDICARE: HIRAL PATEL

MEDICARE: HIRAL PATEL
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
1363A00000XPhysician Assistant
2363A00000XPhysician Assistant10003337AIN

General Provider Information

NPI Number : 1841813672
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIRAL PATEL
Provider Business Mailing Address
First Line : 2354 W BOULEVARD
Second Line :
City : KOKOMO
State : IN
Zip : 46902-6069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2354 W BOULEVARD
Second Line :
City : KOKOMO
State : IN
Zip : 46902-6069
Country : US
Telephone Number : 765-457-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2020
Last Update Date : 04/17/2024

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Directions to “ HIRAL PATEL ” Practice Location

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