Provider Demographics
NPI:1154612109
Name:PATEL, KIRTESH R (MD)
Entity type:Individual
Prefix:DR
First Name:KIRTESH
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT RD NE BLDG 9 3RD FLOOR
Mailing Address - Street 2:ATTN:TOBIE SHELLEY
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1736
Mailing Address - Country:US
Mailing Address - Phone:404-365-0966
Mailing Address - Fax:
Practice Address - Street 1:35 PARK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1110
Practice Address - Country:US
Practice Address - Phone:203-785-2986
Practice Address - Fax:203-785-6309
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2022-04-12
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Provider Licenses
StateLicense IDTaxonomies
CT565162085R0001X
GA0725972085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty