MEDICARE: BRIANA YASHVANT PATEL DC

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	111N00000X	Chiropractor	286555	KY
2	111N00000X	Chiropractor	1801630090	MD

General Provider Information

NPI Number	:	1801630090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA YASHVANT PATEL DC

Provider Business Mailing Address
First Line	:	7902 MCDONOGH RD #101
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1702 WILSON POINT RD
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-5436
Country	:	US
Telephone Number	:	917-873-3902
Fax Number	:

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

Provider Enumeration Date	:	06/21/2024
Last Update Date	:	07/08/2024

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Directions to “ BRIANA YASHVANT PATEL DC” Practice Location

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