Healthcare Provider Details

I. General information

NPI: 1326047416
Provider Name (Legal Business Name): DILIP C PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 MERCY DR NW STE 101
CANTON OH
44708-2624
US

IV. Provider business mailing address

1320 MERCY DR NW STE 101
CANTON OH
44708-2614
US

V. Phone/Fax

Practice location:
  • Phone: 330-588-4676
  • Fax: 330-588-4677
Mailing address:
  • Phone: 330-588-4676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35.076041
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number29862
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: