| Kishor Patel Md | |
|
21851 Center Ridge Rd Suite 405 Rocky River OH 44116-3976 | |
| (440) 333-5822 | |
| (440) 333-5824 |
| Full Name | Kishor Patel Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 21851 Center Ridge Rd, Rocky River, Ohio |
| Authorized Official Name and Position | Kishor Patel (PHYSICIAN) |
| Authorized Official Contact | 4403335824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kishor Patel Md 21851 Center Ridge Rd Suite 405 Rocky River OH 44116-3976 Ph: (440) 333-5822 | Kishor Patel Md 21851 Center Ridge Rd Suite 405 Rocky River OH 44116-3976 Ph: (440) 333-5822 |
| NPI Number | 1427243302 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 10/31/2012 |
| Medicare PECOS PAC ID | 4789679275 |
|---|---|
| Medicare Enrollment ID | O20040415000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427243302 | NPI | - | NPPES |
| 0814855 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 59487 (Ohio) | Primary |
| Provider Name | Kishor P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073613626 PECOS PAC ID: 0446245948 Enrollment ID: I20040415000455 |
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