DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NICHOLAS PATCHAN M.D.

MEDICARE: NICHOLAS PATCHAN 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
1207L00000XAnesthesiology PhysicianD0054181MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2454MJ234OTHERMDTRAILBLAZER

General Provider Information

NPI Number : 1154327724
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS PATCHAN M.D.
Provider Business Mailing Address
First Line : 11781 LEE JACKSON MEMORIAL HWY
Second Line : SUITE 550
City : FAIRFAX
State : VA
Zip : 22033-3309
Country : US
Telephone Number : 571-777-5157
Fax Number : 703-890-2650
Provider Business Practice Location Address
First Line : 5401 OLD COURT RD
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-5103
Country : US
Telephone Number : 410-521-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 10/16/2015

Similar Medicare Providers

1417105727 — DR. KINJAL SHETH MD
Practice Location Address:
5401 OLD COURT RD
RANDALLSTOWN, MD
21133-5103
Practice Phone: 410-701-4502
Practice Fax:
1134125784 — ARUNA ARWINDEKAR M.D.
Practice Location Address:
5401 OLD COURT RD
RANDALLSTOWN, MD
21133-5103
Practice Phone: 410-521-2200
Practice Fax:
1578569133 — DEIDRE VIAN GOLDSMITH C.R.N.A.
Practice Location Address:
5401 OLD COURT RD
RANDALLSTOWN, MD
21133-5103
Practice Phone: 410-521-2200
Practice Fax:
1841296415 — RODNEY LASTER M.D
Practice Location Address:
5401 OLD COURT RD
RANDALLSTOWN, MD
21133-5103
Practice Phone: 410-521-2200
Practice Fax:
1629074281 — SANDRA HINES C.R.N.A.
Practice Location Address:
5401 OLD COURT RD
RANDALLSTOWN, MD
21133-5103
Practice Phone: 410-521-2200
Practice Fax:
1861498446 — THUY TRONG THAN M.D.
Practice Location Address:
5401 OLD COURT RD
RANDALLSTOWN, MD
21133-5103
Practice Phone: 410-521-2200
Practice Fax:

Directions to “ NICHOLAS PATCHAN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.