Individual
DR. AMISH R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O. MPH
Contact information
Practice address
660 LONDON AVE STE B, MARYSVILLE, OH 43040-1515
(937) 578-4580
(937) 578-4585
Mailing address
660 LONDON AVE STE B, MARYSVILLE, OH 43040-1515
(937) 578-4580
(440) 234-3313
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
34008047
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
34008047
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2666404
—
OH
Enumeration date
07/07/2006
Last updated
06/25/2019
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