Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 267218 | KY |
Y | 222Z00000X | Podiatrist | 267218 | KY |
N | 213EP1101X | Primary Podiatric Medicine | 267218 | KY |
N | 2081S0010X | Sports Medicine | 267218 | KY |
N | 213ES0000X | Sports Medicine | 267218 | KY |
N | 213ES0103X | Foot & Ankle Surgery | 267218 | KY |
N | 213ES0103X | Foot & Ankle Surgery | SC007062 | PA |
NPI | 1316409519 |
---|---|
Provider Name | Dr. Chirag Mukesh Patel |
First Address | Louisville, KY 40223-5354 |
Second Address | Louisville, KY 40217-1421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2019 |
Last Update Date | 14/02/2022 |