Provider Demographics
NPI:1053572263
Name:PATEL, KALPESH (MD)
Entity type:Individual
Prefix:
First Name:KALPESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7000 W PLANO PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-1637
Mailing Address - Country:US
Mailing Address - Phone:972-212-5476
Mailing Address - Fax:972-432-5438
Practice Address - Street 1:7000 W PLANO PKWY STE 240
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-1637
Practice Address - Country:US
Practice Address - Phone:972-212-5476
Practice Address - Fax:972-432-5438
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101249063207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVVH747AMedicare PIN