# PRAFULLKUMAR PATEL, MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRAFULLKUMAR PATEL, MD LLC
- **Other names:** Prafullkumar Patel, MD LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679246540
- **Legal business name:** PRAFULLKUMAR PATEL, MD LLC
- **Authorized official:** PRAFULLKUMAR PATEL MD (MANAGING DIRECTOR)
- **Authorized official phone:** (410) 789-1469

## Contact information

- **Practice address:** 4600 RITCHIE HWY, BROOKLYN PARK, MD 21225-2753
- **Practice address phone:** (443) 538-3633
- **Practice address fax:** (410) 789-2826
- **Mailing address:** 4600 RITCHIE HWY, BROOKLYN PARK, MD 21225-2753
- **Mailing address phone:** (443) 538-3633
- **Mailing address fax:** (410) 789-2826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2021
- **Last updated:** 07/27/2021