MEDICARE: ARCHANA PATIL

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	225100000X	Physical Therapist	25501	MD

General Provider Information

NPI Number	:	1306221155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARCHANA PATIL

Provider Business Mailing Address
First Line	:	8750 GEORGIA AVE
Second Line	:	APARTMENT 1420 A
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8750 GEORGIA AVE
Second Line	:	APARTMENT 1420 A
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3603
Country	:	US
Telephone Number	:	617-470-5967
Fax Number	:

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

Provider Enumeration Date	:	07/22/2015
Last Update Date	:	07/22/2015

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Directions to “ ARCHANA PATIL ” Practice Location

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