Active NPI
Kanaiyalal M Patel, M.D
- Anatomic Pathology & Clinical Pathology Physician
- Bedford, OH
National Provider Identifier
1184818809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35041383P
- Practice address
- 44 Blaine Ave
Bedford, OH 44146-2709 - Phone
- (440) 735-3543
- NPI assigned
- Sep 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35041383P | OH | Primary |
Addresses
Primary practice location
44 Blaine Ave
Bedford, OH 44146-2709
Mailing address
6817 Wildwood TRL
Cleveland, OH 44143-1533
Phone (440) 473-2934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35041383P | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1184818809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6817 WILDWOOD TRL",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441431533",
"telephone_number": "440-473-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BLAINE AVE",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441462709",
"telephone_number": "440-735-3543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KANAIYALAL",
"middle_name": "M",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35041383P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.