Kavita Patel, OD

NPI #1962022384 in Peoria, Illinois

Provider Information

NPI Number: 1962022384
Entity Type: Individual
Name: Kavita Patel, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 26, 2020
Last Updated: Aug 13, 2020

Practice Location

Address: 8309 N KNOXVILLE AVE STE 1
City: Peoria
State: Illinois
ZIP Code: 61615-2171
Phone: (309) 713-3664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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