Basic Information
Provider Information
NPI: 1730332495
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PATEL
FirstName: AKASH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9500 EUCLID AVE # M41
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441950001
CountryCode: US
TelephoneNumber: 2164456532
FaxNumber: 2164453692
Practice Location
Address1: 9500 EUCLID AVE # M41
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441952204
CountryCode: US
TelephoneNumber: 2164456532
FaxNumber: 2164453692
Other Information
ProviderEnumerationDate: 10/28/2008
LastUpdateDate: 11/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RA0002X35.143351OHN    
208000000XA126681CAN Allopathic & Osteopathic PhysiciansPediatrics 
208000000XMD429326PAN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0202XA126681CAN Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
2080P0202XMD429326PAN Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
2080P0202X35.143351OHY Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology

No ID Information.


Home