Individual
SHRUTI HITENDRABHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 832-8279
Mailing address
77 W ELMWOOD DR STE 211, DAYTON, OH 45459-4263
(937) 572-7648
(937) 832-8279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.121716
OH
207RI0200X
Infectious Disease Physician
Primary
35.121716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088147
—
OH
01
—
H513350
MEDICARE PTAN
OH
Enumeration date
03/18/2010
Last updated
01/10/2022
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