Individual
SAMIR B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5298 SOCIALVILLE FOSTER RD, MASON, OH 45040-9302
(513) 770-4212
(513) 770-4213
Mailing address
5298 SOCIALVILLE FOSTER RD, MASON, OH 45040-9302
(513) 770-4212
(513) 770-4213
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35-081751
OH
207ND0900X
Dermatopathology Physician
35-081751
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2442502
—
OH
01
—
P00072025
RAILROAD MEDICARE
OH
Enumeration date
06/05/2006
Last updated
12/09/2015
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