Organization Active NPI

Patel Clinic LLC

  • Internal Medicine Physician
  • Athens, OH
National Provider Identifier
1528230810
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
053955 Issued in OH
Legal business name
PATEL CLINIC LLC
Practice address
530 W Union St
Suitec
Athens, OH 45701-8303
Phone
(740) 592-5918
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kathyayini H Patel
Title
MD
Phone
(740) 592-5918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 053955 OH Primary

Addresses

Primary practice location

530 W Union St
Suitec
Athens, OH 45701-8303

Mailing address

530 W Union St
Suitec
Athens, OH 45701-8303
Phone (740) 592-5918

Other identifiers 1

IdentifierTypeStateIssuer
0676013MedicaidOH

National Provider Directory

National Provider Directory

Locations

530 W Union St
Athens, OH 45701
Phone (740) 592-5918

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1528230810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W UNION ST",
            "address_2": "SUITEC",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457018303",
            "telephone_number": "740-592-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W UNION ST",
            "address_2": "SUITEC",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457018303",
            "telephone_number": "740-592-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KATHYAYINI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "740-592-5918",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "053955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0676013",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.