Provider Demographics
NPI:1689991481
Name:PATEL, HETAL DINESH (MD)
Entity Type:Individual
Prefix:
First Name:HETAL
Middle Name:DINESH
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:740 S LIMESTONE
Mailing Address - Street 2:A301
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0293
Mailing Address - Country:US
Mailing Address - Phone:859-323-5057
Mailing Address - Fax:859-257-4682
Practice Address - Street 1:740 S LIMESTONE
Practice Address - Street 2:A301
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-323-5057
Practice Address - Fax:859-257-4682
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2015-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY48363208G00000X
AL31686208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)