Provider Demographics
NPI:1306964481
Name:PATEL, ASHOKKUMAR B (MD)
Entity type:Individual
Prefix:DR
First Name:ASHOKKUMAR
Middle Name:B
Last Name:PATEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:675 OLD BALLAS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7083
Mailing Address - Country:US
Mailing Address - Phone:314-692-2100
Mailing Address - Fax:314-692-2122
Practice Address - Street 1:675 OLD BALLAS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7083
Practice Address - Country:US
Practice Address - Phone:314-692-2100
Practice Address - Fax:314-692-2122
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2010-10-12
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Provider Licenses
StateLicense IDTaxonomies
MO350532083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine