1376495143 NPI number — DR. SHUBHAM RAJKISHOR PATEL MBBS

Table of content: DR. SHUBHAM RAJKISHOR PATEL MBBS (NPI 1376495143)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376495143 NPI number — DR. SHUBHAM RAJKISHOR PATEL MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATEL
Provider First Name:
SHUBHAM
Provider Middle Name:
RAJKISHOR
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MBBS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1376495143
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/12/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3RD FLOOR, MEGHSHYAM, PLOT NO. 77/8
Provider Second Line Business Mailing Address:
VIDYA CHS, NEAR TALUKA POLICE STATION
Provider Business Mailing Address City Name:
PANVEL
Provider Business Mailing Address State Name:
MAHARASHTRA
Provider Business Mailing Address Postal Code:
410206
Provider Business Mailing Address Country Code:
IN
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DR. VIKHE PATIL MEMORIAL HOSPITAL
Provider Second Line Business Practice Location Address:
OPP. GOVT MILK DAIRY, VILAD GHAT
Provider Business Practice Location Address City Name:
AHILYANAGAR
Provider Business Practice Location Address State Name:
MAHARASHTRA
Provider Business Practice Location Address Postal Code:
414111
Provider Business Practice Location Address Country Code:
IN
Provider Business Practice Location Address Telephone Number:
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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