MEDICARE: PALAK PATADIA 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	01090074A	IN

General Provider Information

NPI Number	:	1710516810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PALAK PATADIA MD

Provider Business Mailing Address
First Line	:	1790 GRAYBILL RD STE 200
Second Line	:
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-7993
Country	:	US
Telephone Number	:	234-312-2111
Fax Number	:	234-312-2479

Provider Business Practice Location Address
First Line	:	1790 GRAYBILL RD STE 200
Second Line	:
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-7993
Country	:	US
Telephone Number	:	234-312-2111
Fax Number	:	234-312-2479

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

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	08/29/2025

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Directions to “ PALAK PATADIA MD” Practice Location

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