| Surychandra S Patel | |
|
205 W. Us 60 Irvington KY 40146 | |
| (270) 547-7161 | |
| (270) 547-7163 |
| Full Name | Surychandra S Patel |
|---|---|
| Speciality | Family Medicine |
| Location | 205 W. Us 60, Irvington, Kentucky |
| Authorized Official Name and Position | Suryachandra S Patel (PHYSICIAN) |
| Authorized Official Contact | 2705477161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surychandra S Patel Po Box 147 Irvington KY 40146-0147 Ph: (270) 547-7161 | Surychandra S Patel 205 W. Us 60 Irvington KY 40146 Ph: (270) 547-7161 |
| NPI Number | 1144438532 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 05/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144438532 | NPI | - | NPPES |
| 000000058825 | Other | KY | ANTHEM |
| 50006015 | Other | KY | PASSPORT |
| DA0854 | Other | KY | RAILROAD MEDICARE |
| 2447302001 | Other | KY | PASSPORT ADVANTAGE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20984 (Kentucky) | Primary |
Irvington Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Caroline St., Irvington, KY 40146 Phone: 270-547-2011 Fax: 270-547-2031 | |
Breck Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 W Us 60, Irvington, KY 40146 Phone: 270-547-7161 Fax: 270-547-7163 | |
Patel Medical Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 W Highway 60, Irvington, KY 40146 Phone: 270-547-7161 Fax: 270-547-7163 |