| Kaushik V Patel Md Inc | |
|
1555 East St Suite 300 Redding CA 96001-1153 | |
| (530) 243-3231 | |
| (530) 243-5965 |
| Full Name | Kaushik V Patel Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1555 East St, Redding, California |
| Authorized Official Name and Position | Kaushik V Patel (PRESIDENT) |
| Authorized Official Contact | 5302433231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaushik V Patel Md Inc Po Box 496084 Redding CA 96049-6084 Ph: (530) 243-3231 | Kaushik V Patel Md Inc 1555 East St Suite 300 Redding CA 96001-1153 Ph: (530) 243-3231 |
| NPI Number | 1619296142 |
|---|---|
| Provider Enumeration Date | 05/24/2010 |
| Last Update Date | 03/28/2012 |
| Medicare PECOS PAC ID | 8729110408 |
|---|---|
| Medicare Enrollment ID | O20100715000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619296142 | NPI | - | NPPES |
| 3289825 | Other | CA | CORPORATE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A48373 (California) | Primary |
| Provider Name | Kaushik V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568539054 PECOS PAC ID: 0446140966 Enrollment ID: I20100727000503 |
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