Provider Demographics
NPI:1760674998
Name:PATEL, DARSHANA (MD)
Entity Type:Individual
Prefix:DR
First Name:DARSHANA
Middle Name:
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 1:1467 SCOTT VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47170-7795
Mailing Address - Country:US
Mailing Address - Phone:877-690-1938
Mailing Address - Fax:812-752-7026
Practice Address - Street 1:1467 SCOTT VALLEY DR
Practice Address - Street 2:
Practice Address - City:SCOTTSBURG
Practice Address - State:IN
Practice Address - Zip Code:47170
Practice Address - Country:US
Practice Address - Phone:877-690-1938
Practice Address - Fax:812-752-7026
Is Sole Proprietor?:No
Enumeration Date:2007-08-12
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY51166207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine