Provider Demographics
NPI:1245758242
Name:PATEL, KIRANBHAI RAMANBHAI (PA)
Entity Type:Individual
Prefix:
First Name:KIRANBHAI
Middle Name:RAMANBHAI
Last Name:PATEL
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Gender:M
Credentials:PA
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:7777 HENNESSY BLVD STE 8001
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4300
Mailing Address - Country:US
Mailing Address - Phone:225-490-7224
Mailing Address - Fax:225-490-7223
Practice Address - Street 1:7777 HENNESSY BLVD STE 8001
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808
Practice Address - Country:US
Practice Address - Phone:225-490-7224
Practice Address - Fax:225-490-7223
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2021-06-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical