Provider Demographics
NPI:1417922675
Name:PATEL, VIKRAM P (MD)
Entity Type:Individual
Prefix:DR
First Name:VIKRAM
Middle Name:P
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 CHILDRENS WAY STE 3115
Mailing Address - Street 2:DIVISION OF PEDIATRIC ANESTHESIA
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0005
Mailing Address - Country:US
Mailing Address - Phone:615-936-0023
Mailing Address - Fax:
Practice Address - Street 1:2200 CHILDRENS WAY STE 3115
Practice Address - Street 2:DIVISION OF PEDIATRIC ANESTHESIA
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0005
Practice Address - Country:US
Practice Address - Phone:615-936-0023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD37757207L00000X, 207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001956930Medicaid
PAH84456Medicare UPIN
PA069929FEVMedicare ID - Type Unspecified