Healthcare Provider Details

I. General information

NPI: 1891979001
Provider Name (Legal Business Name): MINESH RANCHHODBHAI PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2007
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 TWIN SPRINGS RD
HALETHORPE MD
21227-3553
US

IV. Provider business mailing address

2101 EAST JEFFERSON STREET SUITE 6W PPQA
ROCKVILLE MD
20852-4908
US

V. Phone/Fax

Practice location:
  • Phone: 410-737-5000
  • Fax: 410-737-5265
Mailing address:
  • Phone: 301-816-5853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number0101259099
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMD043584
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberD80452
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: