| Kumkum Patel Md Inc- A Medical Corporation | |
|
13891 Newport Ave Ste 285 Tustin CA 92780-7840 | |
| (949) 298-7112 | |
| Not Available |
| Full Name | Kumkum Patel Md Inc- A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 13891 Newport Ave Ste 285, Tustin, California |
| Authorized Official Name and Position | Kumkum S Patel (PRESIDENT AND CEO) |
| Authorized Official Contact | 8155667773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kumkum Patel Md Inc- A Medical Corporation 115 Pewter Irvine CA 92620-7336 Ph: (949) 298-7112 | Kumkum Patel Md Inc- A Medical Corporation 13891 Newport Ave Ste 285 Tustin CA 92780-7840 Ph: (949) 298-7112 |
| NPI Number | 1174396048 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 7618326802 |
|---|---|
| Medicare Enrollment ID | O20231213002416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174396048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Kumkum Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003178138 PECOS PAC ID: 5799085742 Enrollment ID: I20201005000405 |
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