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DEVANG MAHESH PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 706-4613
(410) 706-4619
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 706-4613
(410) 706-4619

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D68880
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
417445300
MD
01
951716-01 & 02
BLUE CROSS/BLUE SHIELD
MD
01
S062-0360
BLUE CROSS/BLUE SHIELD - REGIONAL
MD
Enumeration date
03/18/2007
Last updated
01/22/2013
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