Provider Demographics
NPI:1902099146
Name:PATEL, KALPESH (MD)
Entity Type:Individual
Prefix:DR
First Name:KALPESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:KALPESHKUMAR
Other - Middle Name:S
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6740 VESPER AVE
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4612
Mailing Address - Country:US
Mailing Address - Phone:818-988-2190
Mailing Address - Fax:818-988-2170
Practice Address - Street 1:23303 PARK COLOMBO
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-2811
Practice Address - Country:US
Practice Address - Phone:818-223-1560
Practice Address - Fax:818-223-8350
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101127207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1902099146Medicare UPIN