Healthcare Provider Details

I. General information

NPI: 1750209698
Provider Name (Legal Business Name): ALPABEN S PATEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JINAL S PATEL RN

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6810 GREEN HOLLOW WAY
HIGHLAND MD
20777-9523
US

IV. Provider business mailing address

6810 GREEN HOLLOW WAY
HIGHLAND MD
20777-9523
US

V. Phone/Fax

Practice location:
  • Phone: 240-210-5720
  • Fax:
Mailing address:
  • Phone: 240-210-5720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberR276192
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: