MEDICARE: DR. NIKHIL PATEL MD, MPH

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	2084P0804X	Child & Adolescent Psychiatry Physician	298492	NY
2	2084P0800X	Psychiatry Physician	298492	NY

General Provider Information

NPI Number	:	1629431382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIKHIL PATEL MD, MPH

Provider Business Mailing Address
First Line	:	1617 SWANN ST NW APT 5
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-3347
Country	:	US
Telephone Number	:	818-288-5632
Fax Number	:

Provider Business Practice Location Address
First Line	:	1617 SWANN ST NW APT 5
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-3347
Country	:	US
Telephone Number	:	818-288-5632
Fax Number	:

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

Provider Enumeration Date	:	03/31/2016
Last Update Date	:	02/08/2024

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