Healthcare Provider Details

I. General information

NPI: 1730332495
Provider Name (Legal Business Name): AKASH PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 11/07/2021
Certification Date: 11/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # M41
CLEVELAND OH
44195-2204
US

IV. Provider business mailing address

9500 EUCLID AVE # M41
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-445-6532
  • Fax: 216-445-3692
Mailing address:
  • Phone: 216-445-6532
  • Fax: 216-445-3692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA126681
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD429326
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberA126681
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberMD429326
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number35.143351
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code207RA0002X
TaxonomyAdult Congenital Heart Disease Physician
License Number35.143351
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: