Healthcare Provider Details

I. General information

NPI: 1245882745
Provider Name (Legal Business Name): SONAL G. PATEL M.D., A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 07/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4416 E WEST HWY STE 201
BETHESDA MD
20814-4572
US

IV. Provider business mailing address

4416 E WEST HWY STE 201
BETHESDA MD
20814-4572
US

V. Phone/Fax

Practice location:
  • Phone: 301-652-6800
  • Fax: 301-913-2817
Mailing address:
  • Phone: 301-652-6800
  • Fax: 301-913-2817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS RACHEL L GUNTER
Title or Position: OFFICE MANAGER
Credential:
Phone: 301-652-6800