Provider Demographics
NPI:1285928697
Name:PATEL, URVI (MD)
Entity type:Individual
Prefix:DR
First Name:URVI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:C B 8123
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-567-5873
Mailing Address - Fax:636-275-8892
Practice Address - Street 1:522 N NEW BALLAS RD STE 316
Practice Address - Street 2:STE 316
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6840
Practice Address - Country:US
Practice Address - Phone:314-567-5873
Practice Address - Fax:314-454-4323
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2021-06-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2015014037207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILENROLLEDMedicaid