Basic Information
Provider Information
NPI: 1548623903
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATEL
FirstName: AMEET
MiddleName: P
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 22 S GREENE ST RM N3E09
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212011544
CountryCode: US
TelephoneNumber: 4103286110
FaxNumber:  
Practice Location
Address1: 4777 E GALBRAITH RD
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452362725
CountryCode: US
TelephoneNumber: 5137512273
FaxNumber: 5137511848
Other Information
ProviderEnumerationDate: 04/03/2016
LastUpdateDate: 06/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RH0003X35145374OHY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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