Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 00331 | KY |
N | 222Z00000X | Podiatrist | 00331 | KY |
N | 111NR0200X | Radiology | 00331 | KY |
N | 213ER0200X | Radiology | 00331 | KY |
Y | 213ES0103X | Foot & Ankle Surgery | 00331 | KY |
NPI | 1013005412 |
---|---|
Provider Name | Dr. Vipul Ramanbhai Patel |
First Address | Shepherdsville, KY 40165-6640 |
Second Address | Shepherdsville, KY 40165-6640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 13/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000783180 | ANTHEM (01) | KY |
50043984 | PASSPORT (01) | KY |
7100059570 | (05) | KY |
9673151 | AETNA (01) | KY |
P01098974 | RR MEDICARE (01) | KY |