MEDICARE: DR. ALPEN PATEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	MD33525	DC
2	207Y00000X	Otolaryngology Physician	0101233279	VA
3	207Y00000X	Otolaryngology Physician	D0059220	MD

General Provider Information

NPI Number	:	1780615344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALPEN PATEL M.D.

Provider Business Mailing Address
First Line	:	11318 JUDAH WAY
Second Line	:
City	:	MARRIOTTSVILLE
State	:	MD
Zip	:	21104-1189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 E RIDGEVILLE BLVD STE 110
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-5942
Country	:	US
Telephone Number	:	443-289-3459
Fax Number	:	443-289-3488

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	04/17/2025

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