Provider Demographics
NPI:1366630444
Name:PATEL, KAJAL P (MD)
Entity Type:Individual
Prefix:DR
First Name:KAJAL
Middle Name:P
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 JOSE FIGUERES AVE
Mailing Address - Street 2:SUITE 255
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1500
Mailing Address - Country:US
Mailing Address - Phone:408-223-7474
Mailing Address - Fax:408-223-9339
Practice Address - Street 1:200 JOSE FIGUERES AVE
Practice Address - Street 2:SUITE 255
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1500
Practice Address - Country:US
Practice Address - Phone:408-223-7474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-14
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA93552207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA93552OtherMEDICAL BOARD CALIFORNIA