Most Relevant Information
Provider Data
| NPI Number: | 1003548066 |
| Provider Name: | SHRUTIBEN MANSUKHBHAI PATEL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/28/2022 |
| Last Updated: | 06/28/2022 |
Provider Practice Location
201 E UNIVERSITY PKWY DEPT OF
BALTIMORE
MD
212182829
Practice Location Phone/Fax
| Phone: | 4105542284 |
| Fax: | 4105542184 |
Provider Mailing Location
201 E UNIVERSITY PKWY DEPT OF
BALTIMORE
MD
212182829
Provider Mailing Phone/Fax
| Phone: | 4105542284 |
| Fax: | 4105542184 |