Provider Demographics
NPI:1922006865
Name:PATEL, KUSH K (MD)
Entity Type:Individual
Prefix:DR
First Name:KUSH
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8787 BRYAN DAIRY RD STE 230
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1258
Mailing Address - Country:US
Mailing Address - Phone:727-541-4426
Mailing Address - Fax:727-546-8753
Practice Address - Street 1:8787 BRYAN DAIRY RD STE 230
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1258
Practice Address - Country:US
Practice Address - Phone:727-541-4426
Practice Address - Fax:727-546-8753
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80625207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL259386600Medicaid
FL259386600Medicaid
FLH18547Medicare UPIN