Provider Demographics
NPI:1386649911
Name:PATEL, KALPESH R (MD)
Entity Type:Individual
Prefix:DR
First Name:KALPESH
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:395 N SILVERBELL RD
Mailing Address - Street 2:STE 315
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2686
Mailing Address - Country:US
Mailing Address - Phone:520-618-1010
Mailing Address - Fax:520-784-7040
Practice Address - Street 1:395 N SILVERBELL
Practice Address - Street 2:STE 315
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2686
Practice Address - Country:US
Practice Address - Phone:520-618-1010
Practice Address - Fax:520-784-7040
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2017-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ33679208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ919459Medicaid
AZ117603Medicare PIN
AZ919459Medicaid