MEDICARE: TRISHA PATEL MD

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	V7157	TX

General Provider Information

NPI Number	:	1184129397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHA PATEL MD

Provider Business Mailing Address
First Line	:	7225 OLD OAK BLVD STE B312
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-3333
Country	:	US
Telephone Number	:	440-816-4906
Fax Number	:	440-816-6446

Provider Business Practice Location Address
First Line	:	10139 ROYALTON RD STE H
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-4473
Country	:	US
Telephone Number	:	440-816-2878
Fax Number	:	440-582-2538

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

Provider Enumeration Date	:	03/28/2018
Last Update Date	:	05/19/2026

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