Healthcare Provider Details

I. General information

NPI: 1265322358
Provider Name (Legal Business Name): RIYA CHINU PATEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 CORPORATE WOODS PKWY STE B
GREEN OH
44685-8730
US

IV. Provider business mailing address

2215 E WATERLOO RD STE 313
AKRON OH
44312-3856
US

V. Phone/Fax

Practice location:
  • Phone: 330-208-2720
  • Fax: 330-208-2721
Mailing address:
  • Phone: 330-208-2720
  • Fax: 330-208-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: