Provider Demographics
NPI:1073783031
Name:PATEL, AMIT B (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIT
Middle Name:B
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:740 S LIMESTONE B317
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:859-257-5405
Mailing Address - Fax:859-257-5096
Practice Address - Street 1:740 S LIMESTONE B317
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-257-5405
Practice Address - Fax:859-257-5096
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY42990207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN01064592AOtherSTATE MEDICAL LICENSE
IN01064592BOtherSTATE CSR