MEDICARE: RAMESHBHAI 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	207R00000X	Internal Medicine Physician	41987	KY
2	207P00000X	Emergency Medicine Physician	41987	KY

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

General Provider Information

NPI Number	:	1851393961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMESHBHAI PATEL M.D.

Provider Business Mailing Address
First Line	:	1006 NEW MOODY LN
Second Line	:
City	:	LA GRANGE
State	:	KY
Zip	:	40031-9122
Country	:	US
Telephone Number	:	502-222-0028
Fax Number	:	502-222-0029

Provider Business Practice Location Address
First Line	:	1006 NEW MOODY LN
Second Line	:
City	:	LA GRANGE
State	:	KY
Zip	:	40031-9122
Country	:	US
Telephone Number	:	502-222-0028
Fax Number	:	502-222-0029

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	09/19/2014

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