Individual
MAUNANK MANHARBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
22590 SHADY CT, CALIFORNIA, MD 20619-5009
(301) 373-7900
(301) 373-6900
Mailing address
22590 SHADY CT, CALIFORNIA, MD 20619-5009
(301) 373-7900
(301) 373-6900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125058709
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856403500
—
MD
Enumeration date
11/02/2010
Last updated
12/09/2021
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