Healthcare Provider Details

I. General information

NPI: 1083819767
Provider Name (Legal Business Name): ARATI PATEL M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HOSPITAL RD STE 212
PRINCE FREDERICK MD
20678-4040
US

IV. Provider business mailing address

110 HOSPITAL RD STE 212
PRINCE FREDERICK MD
20678-4040
US

V. Phone/Fax

Practice location:
  • Phone: 410-414-9116
  • Fax: 410-414-9118
Mailing address:
  • Phone: 410-414-9116
  • Fax: 410-414-9118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD59061
License Number StateMD

VIII. Authorized Official

Name: DR. ARATI CHEPUR PATEL
Title or Position: OWNER
Credential: M.D.
Phone: 410-414-9116