Healthcare Provider Details

I. General information

NPI: 1053497669
Provider Name (Legal Business Name): SMITA HASMUKH PATEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 06/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US

IV. Provider business mailing address

10701 BARN WOOD LN
POTOMAC MD
20854-1327
US

V. Phone/Fax

Practice location:
  • Phone: 202-775-0620
  • Fax: 240-366-5170
Mailing address:
  • Phone: 202-775-0620
  • Fax: 202-795-9902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD18435
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD39045
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberD39045
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: