Provider Demographics
NPI:1013302306
Name:PATEL, KINJAN P (MD)
Entity Type:Individual
Prefix:
First Name:KINJAN
Middle Name:P
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10120 E OLD VAIL RD STE 150
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-9415
Mailing Address - Country:US
Mailing Address - Phone:520-545-0953
Mailing Address - Fax:520-545-0954
Practice Address - Street 1:10120 E OLD VAIL RD STE 150
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-9415
Practice Address - Country:US
Practice Address - Phone:520-545-0953
Practice Address - Fax:520-545-0954
Is Sole Proprietor?:No
Enumeration Date:2015-04-02
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ62431207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease