Provider Demographics
NPI:1891727087
Name:PATEL, KIRIT S (MD)
Entity Type:Individual
Prefix:MR
First Name:KIRIT
Middle Name:S
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:34 36 PROGRESS STREET
Mailing Address - Street 2:SUITE A6
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820
Mailing Address - Country:US
Mailing Address - Phone:908-757-9555
Mailing Address - Fax:908-757-2312
Practice Address - Street 1:34 36 PROGRESS STREET
Practice Address - Street 2:SUITE A6
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820
Practice Address - Country:US
Practice Address - Phone:908-757-9555
Practice Address - Fax:908-757-2312
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2014-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04536300207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1884701Medicaid
NJ1884701Medicaid
NJ454947Medicare ID - Type Unspecified