Healthcare Provider Details

I. General information

NPI: 1184129397
Provider Name (Legal Business Name): TRISHA PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10139 ROYALTON RD STE H
NORTH ROYALTON OH
44133-4473
US

IV. Provider business mailing address

7225 OLD OAK BLVD STE B312
MIDDLEBURG HEIGHTS OH
44130-3333
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-2878
  • Fax: 440-582-2538
Mailing address:
  • Phone: 440-816-4906
  • Fax: 440-816-6446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberV7157
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: