1982634044 NPI number — PARAG PATEL MD PLLC

Table of content: (NPI 1982634044)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982634044 NPI number — PARAG PATEL MD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARAG PATEL MD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COMPREHENSIVE WOMEN'S HEALTH CARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982634044
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
330 THOMAS MORE PKWY
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
CRESTVIEW HILLS
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41017-3427
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
853-934-4621
Provider Business Mailing Address Fax Number:
859-578-2023

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
446 MORGAN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45206-2348
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-834-7063
Provider Business Practice Location Address Fax Number:
513-873-1567
Provider Enumeration Date:
07/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PATEL
Authorized Official First Name:
PARAG
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
859-344-6211

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 367A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 64067465 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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