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KUNJ GOVIND PATEL MD LLC, A SERIES LLC

Physicians Phlebology

Provider NPI: 1962063040

Organization Information:
Organization Name:  KUNJ GOVIND PATEL MD LLC, A SERIES LLC
Organization is not Subpart
Authorized Official:  KUNJ GOVIND PATEL  DIRECTOR/PHYSICIAN  724-426-5865

Practice Location:
18 S KINGSHIGHWAY BLVD APT 8N  SAINT LOUIS, MO 63108-1319 US
Tel: 724-426-5865  Fax: --

Business Mailing Address:
1440 BEACON ST APT 510  BROOKLINE, MA 02446-2001 US
Tel: 973-819-2114  Fax: --

NPI Information:
NPI: 1962063040
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N202K00000XPhysicians
Phlebology
N204C00000XPhysicians
Neuromusculoskeletal Medicine, Sports Medicine
N204R00000X
N207R00000XPhysicians
Internal Medicine
N207RC0000XPhysicians
Internal Medicine
N207RC0001XPhysicians
Internal Medicine
N207T00000XPhysicians
Neurological Surgery
N207XS0106XPhysicians
Orthopaedic Surgery
N207XS0117XPhysicians
Orthopaedic Surgery
N207XX0005XPhysicians
Orthopaedic Surgery
N208100000XPhysicians
Physical Medicine & Rehabilitation
N2081H0002XPhysicians
Physical Medicine & Rehabilitation
N2084A0401XPhysicians
Psychiatry & Neurology
N2086X0206XPhysicians
Surgery
Y2081P2900XPhysicians
Physical Medicine & Rehabilitation

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2081P2900X

Type:

Classification:



Definition:



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