Provider Demographics
NPI:1053814095
Name:PATEL, KINJAL DHANANJAIKUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:KINJAL
Middle Name:DHANANJAIKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 W ELK TRL APT 345
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-9328
Mailing Address - Country:US
Mailing Address - Phone:630-935-7503
Mailing Address - Fax:
Practice Address - Street 1:147 W ELK TRL APT 345
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-9328
Practice Address - Country:US
Practice Address - Phone:630-935-7503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program