Provider Demographics
NPI:1386750073
Name:PATEL, PARESH (MD)
Entity type:Individual
Prefix:
First Name:PARESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6675 HOLMES RD
Mailing Address - Street 2:SUITE 430
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1150
Mailing Address - Country:US
Mailing Address - Phone:816-361-0055
Mailing Address - Fax:816-361-5775
Practice Address - Street 1:6675 HOLMES RD
Practice Address - Street 2:SUITE 430
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1150
Practice Address - Country:US
Practice Address - Phone:816-361-0055
Practice Address - Fax:816-361-5775
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0431054207RG0100X
MO2004034161207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200300390AMedicaid
KS200300390AMedicaid
KSH95D492Medicare ID - Type Unspecified