Provider Demographics
NPI:1710182654
Name:PATEL, KALPESHKUMAR R (MD)
Entity Type:Individual
Prefix:DR
First Name:KALPESHKUMAR
Middle Name:R
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 1:2800 ROUTE 130 N
Mailing Address - Street 2:SUITE 102, NEW ALBANY PROF BLDG
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-3035
Mailing Address - Country:US
Mailing Address - Phone:856-303-8500
Mailing Address - Fax:856-303-8501
Practice Address - Street 1:2800 ROUTE 130 N
Practice Address - Street 2:SUITE 102, NEW ALBANY PROF BLDG
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-3035
Practice Address - Country:US
Practice Address - Phone:856-303-8500
Practice Address - Fax:856-303-8501
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08404600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine