Provider Demographics
NPI:1538135033
Name:PATEL, MEENA S (MD)
Entity Type:Individual
Prefix:DR
First Name:MEENA
Middle Name:S
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 1:203 FAIRGROUNDS RD
Mailing Address - Street 2:
Mailing Address - City:HARDINSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40143
Mailing Address - Country:US
Mailing Address - Phone:270-756-2171
Mailing Address - Fax:270-756-2855
Practice Address - Street 1:203 FAIRGROUNDS RD
Practice Address - Street 2:
Practice Address - City:HARDINSBURG
Practice Address - State:KY
Practice Address - Zip Code:40143
Practice Address - Country:US
Practice Address - Phone:270-756-2171
Practice Address - Fax:270-756-2855
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY21716208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64217169Medicaid
F27731Medicare UPIN