MEDICARE: DR. AMIT H. PATEL D.D.S.

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	1223G0001X	General Practice Dentistry	DEN1001156	DC

General Provider Information

NPI Number	:	1780837385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIT H. PATEL D.D.S.

Provider Business Mailing Address
First Line	:	2021 MARTIN LUTHER KING JR AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-7007
Country	:	US
Telephone Number	:	202-621-9260
Fax Number	:

Provider Business Practice Location Address
First Line	:	2021 MARTIN LUTHER KING JR AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-7007
Country	:	US
Telephone Number	:	202-621-9260
Fax Number	:

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

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	09/26/2022

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