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NPI Code Detail

MEDICARE: DR. KASHYAP V PATEL MD

MEDICARE: DR. KASHYAP V PATEL MD
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
1207Q00000XFamily Medicine PhysicianME90826FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982630042
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KASHYAP V PATEL MD
Provider Business Mailing Address
First Line : 325 CLYDE MORRIS BLVD STE 340
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-3199
Country : US
Telephone Number : 368-615-8971
Fax Number : 386-677-9685
Provider Business Practice Location Address
First Line : 325 CLYDE MORRIS BLVD STE 340
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-3199
Country : US
Telephone Number : 368-615-8971
Fax Number : 386-677-9685
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 11/25/2013

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