Provider Demographics
NPI:1023542503
Name:PATEL, GAURAVKUMAR (MD)
Entity Type:Individual
Prefix:
First Name:GAURAVKUMAR
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B/501 NARAYAN LAVISH
Mailing Address - Street 2:BEHIND GUJARAT HIGH COURT
Mailing Address - City:AHMEDABAD
Mailing Address - State:GUJARAT
Mailing Address - Zip Code:380060
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:B/501 NARAYAN LAVISH
Practice Address - Street 2:BEHIND GUJARAT HIGH COURT
Practice Address - City:AHMEDABAD
Practice Address - State:GUJARAT
Practice Address - Zip Code:380060
Practice Address - Country:IN
Practice Address - Phone:997-420-2646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program