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NPI Code Detail

MEDICARE: PARTHKUMAR PATEL DMD

MEDICARE: PARTHKUMAR PATEL DMD
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
1122300000XDentist61163KS

General Provider Information

NPI Number : 1962959551
Entity Type Code : Individual
Provider Name (Legal Business Name) : PARTHKUMAR PATEL DMD
Provider Business Mailing Address
First Line : 8510 E 29TH ST N
Second Line : APT 723
City : WICHITA
State : KS
Zip : 67226
Country : US
Telephone Number : 770-905-6617
Fax Number :
Provider Business Practice Location Address
First Line : 2838 N OLIVER ST
Second Line :
City : WICHITA
State : KS
Zip : 67220-2983
Country : US
Telephone Number : 316-978-8350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2016
Last Update Date : 09/01/2016

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Directions to “ PARTHKUMAR PATEL DMD” Practice Location

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