Individual
KOMAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-7081
(301) 677-8800
(301) 677-8013
Mailing address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-7081
(301) 677-8800
(301) 677-8013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R219909
MD
363LF0000X
Family Nurse Practitioner
Primary
R219909
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R219909
—
MD
Enumeration date
12/16/2019
Last updated
03/31/2026
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