Individual
MANAN HARSHADRAY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 W BALTIMORE ST DEPT OF, BALTIMORE, MD 21201-1510
(410) 706-7101
Mailing address
650 W BALTIMORE ST, DEPARTMENT OF ORAL-MAXILLOFACIAL SURGERY, BALTIMORE, MD 21201-1510
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
MD
390200000X
Student in an Organized Health Care Education/Training Program
2901021602
MI
Other
Enumeration date
06/25/2015
Last updated
06/17/2017
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