Provider Demographics
NPI:1255434684
Name:KIRIT S PATEL MD CHARTERED
Entity type:Organization
Organization Name:KIRIT S PATEL MD CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRITKUMAR
Authorized Official - Middle Name:SURESHKUMAR
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-829-8800
Mailing Address - Street 1:601 N MUR LEN ROAD
Mailing Address - Street 2:SUITE 10 B
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5416
Mailing Address - Country:US
Mailing Address - Phone:913-829-8800
Mailing Address - Fax:913-829-8839
Practice Address - Street 1:601 NORTH MUR-LEN ROAD
Practice Address - Street 2:SUITE 10B
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-5416
Practice Address - Country:US
Practice Address - Phone:913-829-8800
Practice Address - Fax:913-829-8839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0420772207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D88693Medicare UPIN
KS040375Medicare ID - Type Unspecified
KS0005945CMedicare ID - Type Unspecified
KS040374Medicare ID - Type Unspecified
KS0005945DMedicare ID - Type Unspecified