Provider Demographics
NPI:1861788200
Name:PATEL, KHYATI ARVIND (MD)
Entity type:Individual
Prefix:DR
First Name:KHYATI
Middle Name:ARVIND
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:725 RESERVOIR AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-4451
Mailing Address - Country:US
Mailing Address - Phone:401-563-9825
Mailing Address - Fax:401-563-9826
Practice Address - Street 1:725 RESERVOIR AVE STE 204
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-4451
Practice Address - Country:US
Practice Address - Phone:401-563-9825
Practice Address - Fax:401-563-9826
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD14933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine