Healthcare Provider Details

I. General information

NPI: 1174028286
Provider Name (Legal Business Name): UMANG DHARMENDRAKUMAR PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 MITCHELLVILLE RD STE B220
BOWIE MD
20716-3147
US

IV. Provider business mailing address

424 ASHERS FARM RD
ANNAPOLIS MD
21401-6592
US

V. Phone/Fax

Practice location:
  • Phone: 301-257-5489
  • Fax:
Mailing address:
  • Phone: 443-255-0923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0091160
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberD0091160
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberD0091160
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207RH0005X
TaxonomyHypertension Specialist Physician
License NumberD0091160
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: