MEDICARE: DR. ASHWIN N. PATEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	D98041	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000120235	OTHER	OH	ANTHEM
2	1600642	OTHER	OH	UHC
3	203740	OTHER	OH	BLACK LUNG
4	N379420	OTHER	OH	WELLCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154324564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHWIN N. PATEL M.D.

Provider Business Mailing Address
First Line	:	3801 CENTER RD
Second Line	:
City	:	BRUNSWICK
State	:	OH
Zip	:	44212-3023
Country	:	US
Telephone Number	:	330-273-2656
Fax Number	:	330-273-3755

Provider Business Practice Location Address
First Line	:	3801 CENTER RD
Second Line	:
City	:	BRUNSWICK
State	:	OH
Zip	:	44212-3023
Country	:	US
Telephone Number	:	330-273-2656
Fax Number	:	330-273-3755

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	12/21/2010

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