Basic Information
| Provider Information | |||||||||
| NPI: | 1558987552 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | KULIN | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 BATH RD | ||||||||
| Address2: | |||||||||
| City: | BRISTOL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190073190 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157859200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 75 E STREET RD | ||||||||
| Address2: | |||||||||
| City: | FEASTERVILLE TREVOSE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190536047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2676841047 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2020 | ||||||||
| LastUpdateDate: | 07/26/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | MT220942 | PA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207Q00000X | MD478678 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.