Healthcare Provider Details

I. General information

NPI: 1932649860
Provider Name (Legal Business Name): AKHIL RAJAN PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2017
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16235 CONNORS WAY
ROCKVILLE MD
20855-2393
US

IV. Provider business mailing address

16235 CONNORS WAY
ROCKVILLE MD
20855-2393
US

V. Phone/Fax

Practice location:
  • Phone: 240-780-8119
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD210002168
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number25MA10835000
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD210002168
License Number StateDC
# 5
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number25MA10835000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: