Healthcare Provider Details

I. General information

NPI: 1154900264
Provider Name (Legal Business Name): RONAK PATEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 STETSON ST STE 2300
CINCINNATI OH
45219-2450
US

IV. Provider business mailing address

260 STETSON ST STE 2300
CINCINNATI OH
45219-2450
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-2968
  • Fax: 513-558-4887
Mailing address:
  • Phone: 513-475-8730
  • Fax: 513-475-8033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number34.017838
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: