Provider Demographics
NPI:1255853834
Name:PATEL, KINJAL KESHAVLAL (MD)
Entity Type:Individual
Prefix:DR
First Name:KINJAL
Middle Name:KESHAVLAL
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 1:1867 WOODVIEW AVENUE
Mailing Address - Street 2:
Mailing Address - City:PICKERING
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L1V6S9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1867 WOODVIEW AVENUE
Practice Address - Street 2:
Practice Address - City:PICKERING
Practice Address - State:ONTARIO
Practice Address - Zip Code:L1V6S9
Practice Address - Country:CA
Practice Address - Phone:732-524-8763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3117362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry