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KAVITA SHANKER-PATEL M.D. NPI 1124384789


NPI Information

NPI: 1124384789
Provider Name: KAVITA SHANKER-PATEL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: CENTRAL DUPAGE PHYSICIAN GROUP

PECOS Registration: Yes

Address:
245 S GARY AVE
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 924-4009
Get Directions

Kavita Shanker-patel, M.D. is a family medicine in Bloomingdale, IL with 12 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kavita Shanker-patel, M.D. NPI is 1124384789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2012

The provider's business location address is:

245 S GARY AVE
BLOOMINGDALE, IL
ZIP 60108-228
Phone: (630) 924-4009
Fax: (630) 924-9671

The NPI 1124384789 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2012 and was last updated on 10/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine125061830ILLINOISNo
2207Q00000XFamily Medicine036138106ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1920540OTHERILLINOISMEDICARE PTAN (GROUP)
2F400250954OTHERILLINOISMEDICARE PTAN (INDIVIDUAL)
3036138106OTHERILLINOISMEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.