Healthcare Provider Details

I. General information

NPI: 1952862773
Provider Name (Legal Business Name): MILAN PIYUSH PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15225 SHADY GROVE RD STE 201
ROCKVILLE MD
20850-3278
US

IV. Provider business mailing address

3495 ROSE CREST LN
FAIRFAX VA
22033-1633
US

V. Phone/Fax

Practice location:
  • Phone: 301-670-3000
  • Fax:
Mailing address:
  • Phone: 703-869-8510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME162554
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0103463
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: