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NPI 1144752817

NPI 1144752817 : LAKIR PATEL M.D. : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1144752817
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    Entity Type          |    Individual 
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    Provider Name        |    LAKIR PATEL M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/31/2017
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    Last Update Date     |    03/12/2025
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Provider Practice Location Address
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    Address Line         |    22 S GREENE ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21201-1590
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    Country              |    US
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    Telephone            |    443-878-2600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6021 OTTERBEIN LN APT 310 
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    City                 |    ELLICOTT CITY
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    State                |    MD
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    Zip                  |    21043-7634
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    Country              |    US
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    Telephone            |    443-878-2600
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    D0086839
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    103534
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    License Number State |    GA
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