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Provider Information for 1326068701



DR. PRASHANT RAMAN PATEL DDS

Gender: MALE

Individual NPI: 1326068701

Calendar Last Updated: 2016-09-30

Details

Name Value
NPI 1326068701
Enumeration Date 2006-07-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 11100 ASH ST #204
LEAWOOD, KS 66211-1925
United States

Phone: 913-491-6282 | Fax: 913-491-1844
View Map External Link
Primary Practice Address 11100 ASH ST #204
LEAWOOD, KS 66211-1925
United States

Phone: 913-491-6282 | Fax: 913-491-1844
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist KS 6981
Other Identifiers
Issuer State Number
Other DENTAL CA 000968130
Other DENTAL KS 6981