| Doctor Name: | MUKESHKUMAR B PATEL |
| NPI Number: | 1861459703 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 00021207 |
| Business Practice Address: | 4212 Carmichael Ct N Montgomery, AL - 361063621 |
| Business Phone Number: | 3342138804 |
| Business Fax Number: | 3342138815 |
| Mailing Address: | 4212 Carmichael Ct N, MONTGOMERY |
| State: | AL |
| Postal Code: | 361063621 |
| Phone Number: | 3342138804 |
| Fax Number: | 3342138815 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 00021207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |