MEDICARE: DR. MITA PATEL 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	208600000X	Surgery Physician	35.095317	OH

General Provider Information

NPI Number	:	1780837880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITA PATEL MD

Provider Business Mailing Address
First Line	:	41201 SCHADDEN RD
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-2249
Country	:	US
Telephone Number	:	440-934-8344
Fax Number	:	440-394-8345

Provider Business Practice Location Address
First Line	:	41201 SCHADDEN RD
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-2249
Country	:	US
Telephone Number	:	440-934-8344
Fax Number	:	440-394-8345

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

Provider Enumeration Date	:	11/03/2008
Last Update Date	:	12/18/2018

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Directions to “ DR. MITA PATEL MD” Practice Location

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