Individual
AMI MAHENDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, NEPHROLOGY, BALTIMORE, MD 21201-1544
(410) 328-5720
(410) 328-5685
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5720
(410) 328-5685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT185905
PA
207RN0300X
Nephrology Physician
Primary
D76533
MD
207RN0300X
Nephrology Physician
MD432996
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321230100
—
MD
01
—
A313-0018
CAREFIRST BC/BS
MD
Enumeration date
12/22/2006
Last updated
02/09/2015
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