Provider Demographics
NPI:1407963671
Name:PATEL, AKSHAYA A (MD)
Entity Type:Individual
Prefix:
First Name:AKSHAYA
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:5200 COMMERCE CROSSINGS DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-2182
Mailing Address - Country:US
Mailing Address - Phone:502-253-4924
Mailing Address - Fax:502-489-5750
Practice Address - Street 1:10216 TAYLORSVILLE RD STE 500
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-3617
Practice Address - Country:US
Practice Address - Phone:502-928-1050
Practice Address - Fax:502-928-1051
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2020-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY40185207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64129950Medicaid
KYI41721Medicare UPIN
KYP00370370Medicare PIN
KY00546121Medicare Oscar/Certification