Provider Demographics
NPI:1225090848
Name:PATEL, KANUBHAI A (MD)
Entity Type:Individual
Prefix:DR
First Name:KANUBHAI
Middle Name:A
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 1:1441 REDBUD BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3233
Mailing Address - Country:US
Mailing Address - Phone:972-548-8998
Mailing Address - Fax:972-548-9522
Practice Address - Street 1:1441 REDBUD BLVD
Practice Address - Street 2:STE 101
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3224
Practice Address - Country:US
Practice Address - Phone:972-548-8998
Practice Address - Fax:972-548-9522
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4373174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098201901Medicaid
TXC20280Medicare UPIN