Provider Demographics
NPI:1447291182
Name:PATEL, KEVAL D (MD)
Entity type:Individual
Prefix:DR
First Name:KEVAL
Middle Name:D
Last Name:PATEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 PRAIRIE WAY
Mailing Address - Street 2:CA
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-8044
Mailing Address - Country:US
Mailing Address - Phone:408-767-8632
Mailing Address - Fax:510-279-0137
Practice Address - Street 1:9360 N NAME UNO STE 210
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-3535
Practice Address - Country:US
Practice Address - Phone:408-767-8632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036092912207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036092912Medicaid
IN200109230AMedicaid
1440248OtherUNITED HEALTHCARE
195676OtherPERSONAL CARE/COVENTRY
195676OtherPERSONAL CARE/COVENTRY
IL036092912Medicaid
IL440001347Medicare ID - Type UnspecifiedIL RAILROAD MEDICARE
1440248OtherUNITED HEALTHCARE
IN200109230AMedicaid