1649256843 NPI number — KAUSHIK P PATEL M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649256843 NPI number — KAUSHIK P PATEL M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

PATEL

Provider First Name:

KAUSHIK

Provider Middle Name:

P

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

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:

1649256843

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

08/02/2021

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2409 BROWNSVILLE RD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

PITTSBURGH

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

15210-4503

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

412-886-1628

Provider Business Mailing Address Fax Number:

412-886-1643

Provider First Line Business Practice Location Address:

2409 BROWNSVILLE RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

PITTSBURGH

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

15210-4503

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

412-886-9803

Provider Business Practice Location Address Fax Number:

412-886-1918

Provider Enumeration Date:

12/20/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207R00000X , with the licence number:  MD071045L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 210966 . This is a "UPMC HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 229426 . This is a "HEALTH AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 0018059270004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 3378423 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 149266 . This is a "MEDPLUS HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 155575 . This is a "UMWA UNITED MINE WORKERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: P002253 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 10933852 . This is a "CIGNA INSURANCE CO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 0018059270003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 1545760 . This is a "BLUE SHIELD OF PA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: P00078916 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".