Most Relevant Information
Provider Data
| NPI Number: | 1003326810 |
| Provider Name: | MOENIL PATEL |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00765700 |
Most Important Dates
| Enumeration Date: | 10/06/2017 |
| Last Updated: | 01/14/2022 |
Provider Practice Location
10 SAINT PATRICKS DR
WALDORF
MD
206034527
Practice Location Phone/Fax
| Phone: | 3013737900 |
| Fax: | 3013736900 |
Provider Mailing Location
PO BOX 640
HOLLYWOOD
MD
206360640
Provider Mailing Phone/Fax
| Phone: | 3013737900 |
| Fax: | 3013736900 |