Healthcare Provider Details

I. General information

NPI: 1346235215
Provider Name (Legal Business Name): SHAILESH RAVJIBHAI PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 BEECHER XING N STE A
GAHANNA OH
43230-4573
US

IV. Provider business mailing address

5969 E BROAD ST SUITE 202
COLUMBUS OH
43213-1546
US

V. Phone/Fax

Practice location:
  • Phone: 614-367-0585
  • Fax: 614-367-0599
Mailing address:
  • Phone: 614-367-0585
  • Fax: 614-367-0599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35062270P
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number35.062270
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: