Individual
VIVEK A PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 ROCKLEDGE DR, SUITE 2200, BETHESDA, MD 20817-7837
(301) 897-8650
(301) 530-6810
Mailing address
PO BOX 791372, BALTIMORE, MD 21279-1372
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0068027
MD
208C00000X
Colon & Rectal Surgery Physician
Primary
D68027
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415096100
—
MD
05
—
416193900
—
MD
Enumeration date
05/16/2008
Last updated
05/09/2013
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