Patel, Kunthavai S.

Patel, Kunthavai S. is an individual health care provider with primary practice located at 208 Country Club Road , Houston MS 38851. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Patel, Kunthavai S. can be contacted via phone (662) 456-3437.

Contact Information

Primary practice address
208 Country Club Road Houston MS 38851
Phone: (662) 456-3437
Fax: (662) 456-2070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MS13688 Mississippi

Profile Details

NPI number 1891776530
LBN Legal business name Patel, Kunthavai S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jan 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891776530 NPPES
Mississippi MEDICAID 00112962

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