Healthcare Provider Details

I. General information

NPI: 1053004044
Provider Name (Legal Business Name): RUCHI PATEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEDICAL CENTER DR STE 360
MIDDLETOWN OH
45005-5179
US

IV. Provider business mailing address

2123 AUBURN AVE STE 404
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-217-5720
  • Fax: 513-271-5729
Mailing address:
  • Phone: 513-241-5630
  • Fax: 513-241-7146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0034076
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number0034076
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number482184
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: