Individual
PRAFULLKUMAR GORDHAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 RITCHIE HWY, BROOKLYN PARK, MD 21225-2753
(410) 789-1469
(410) 789-2826
Mailing address
4600 RITCHIE HWY, BROOKLYN PARK, MD 21225-2753
(410) 789-1469
(410) 789-2826
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D37111
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
547481700
—
MD
Enumeration date
07/21/2006
Last updated
10/11/2021
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