Healthcare Provider Details

I. General information

NPI: 1437956406
Provider Name (Legal Business Name): RONAK BIMAL PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WEATHERSTONE DR STE 111
WADSWORTH OH
44281-7833
US

IV. Provider business mailing address

2623 CROSS TIDE LN
FRIENDSWOOD TX
77546-6053
US

V. Phone/Fax

Practice location:
  • Phone: 330-336-6611
  • Fax:
Mailing address:
  • Phone: 281-678-7542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028109
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: