86 STONEBRIDGE BLVD
JACKSON, TN 38305-2038 US PECOS Enrolled
Overview
Kandarp B Patel is a Specialist in the JACKSON area and has over 26 years of experience. Kandarp B Patel primary office location is at 86 STONEBRIDGE BLVD and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1998
Kandarp B Patel is affiliated with four hospitals in the JACKSON area, including . The NPI number is 1235195561 and the information was updated approximately 8 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 31718 | TN |
| Board Certifications |
|---|
| Cardiovascular Disease |
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 3845500 | TN |
| UNISON HEALTH PLAN | 165542 | TN |
| BLUE CROSS | 4294545 | TN |
| Taxonomy | State | Primary? |
|---|---|---|
| Specialist - Taxonomy Code 174400000X | TN | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20041005001284 |
| PECOS Individual PAC ID: | 2365401320 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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