Provider Demographics
NPI:1659445831
Name:PATEL, KASHIBEN G (MD)
Entity Type:Individual
Prefix:DR
First Name:KASHIBEN
Middle Name:G
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR # 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-5412
Mailing Address - Fax:
Practice Address - Street 1:6000 EXECUTIVE BLVD STE 625
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852
Practice Address - Country:US
Practice Address - Phone:240-314-7080
Practice Address - Fax:410-367-2235
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD32118207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1659445831Medicaid
MD403191100Medicaid
MD403191100Medicaid