Healthcare Provider Details

I. General information

NPI: 1952235756
Provider Name (Legal Business Name): URVISHA PATEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S MARKET ST
FREDERICK MD
21701-5527
US

IV. Provider business mailing address

2607 REED ST NE APT 1026
WASHINGTON DC
20018-1819
US

V. Phone/Fax

Practice location:
  • Phone: 301-600-2842
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: