=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831755602
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARJUN PATEL DO
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/16/2019
-----------------------------------------------------
Last Update Date | 08/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 250 N CALVERT ST
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21202-3505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-512-0329
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 250 N CALVERT ST
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21202-3505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-332-9528
-----------------------------------------------------
Fax | 410-385-9383
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | H0103620
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------