| Patel & Patel Md Inc | |
|
401 Division St Ste 306 South Charleston WV 25309-1455 | |
| (304) 766-4300 | |
| (304) 766-4337 |
| Full Name | Patel & Patel Md Inc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 401 Division St Ste 306, South Charleston, West Virginia |
| Authorized Official Name and Position | Kiran R Patel (OWNER) |
| Authorized Official Contact | 3047664300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patel & Patel Md Inc 401 Division St Ste 306 South Charleston WV 25309-1455 Ph: (304) 766-4300 | Patel & Patel Md Inc 401 Division St Ste 306 South Charleston WV 25309-1455 Ph: (304) 766-4300 |
| NPI Number | 1467535450 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 12/19/2012 |
| Medicare PECOS PAC ID | 1759301823 |
|---|---|
| Medicare Enrollment ID | O20051205000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467535450 | NPI | - | NPPES |
| 0092257000 | Medicaid | WV | |
| 0055016000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18983 (West Virginia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 17053 (West Virginia) | Primary |
| Provider Name | Kiran R Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346200599 PECOS PAC ID: 6204889777 Enrollment ID: I20050225000016 |
| Provider Name | Leela K Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124097084 PECOS PAC ID: 2567415920 Enrollment ID: I20050225000022 |
| Provider Name | Akhil Kiran Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609300334 PECOS PAC ID: 4284909110 Enrollment ID: I20230222000128 |
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