Healthcare Provider Details

I. General information

NPI: 1114727112
Provider Name (Legal Business Name): EKTA PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6805 CORK DR
WEST CHESTER OH
45069-4271
US

IV. Provider business mailing address

6806 CORK DR
WEST CHESTER OH
45069-4269
US

V. Phone/Fax

Practice location:
  • Phone: 513-805-6132
  • Fax:
Mailing address:
  • Phone: 513-805-6132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: