Healthcare Provider Details

I. General information

NPI: 1316599723
Provider Name (Legal Business Name): SARTHAK PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 12/13/2022
Certification Date: 12/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MEDICAL PARK STE 401
WHEELING WV
26003-6392
US

IV. Provider business mailing address

40 MEDICAL PARK STE 401
WHEELING WV
26003-6392
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-3880
  • Fax: 304-243-3895
Mailing address:
  • Phone: 304-243-3880
  • Fax: 304-243-3895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number318028
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: