Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 37780 | SC |
N | 111NI0900X | Internist | 37780 | SC |
Y | 207R00000X | Internist | MT200230 | PA |
Y | 111NI0900X | Internist | MT200230 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | D85999 | MD |
NPI | 1003101908 |
---|---|
Provider Name | Ronak K Patel |
First Address | Baltimore, MD 21218 |
Second Address | Baltimore, MD 21218-2829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2011 |
Last Update Date | 24/08/2021 |