MEDICARE: ABHISHEK P 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	208800000X	Urology Physician	35129550	OH

General Provider Information

NPI Number	:	1366760662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABHISHEK P PATEL M.D.

Provider Business Mailing Address
First Line	:	5400 FRANTZ RD
Second Line	:	SUITE 250
City	:	DUBLIN
State	:	OH
Zip	:	43016-4144
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5141 W BROAD ST
Second Line	:	SUITE 180
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1992
Country	:	US
Telephone Number	:	614-544-1460
Fax Number	:	614-544-1853

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

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	01/25/2022

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