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NPI Code Detail

MEDICARE: DR. MITESH BABUBHAI PATEL M.D

MEDICARE: DR. MITESH BABUBHAI PATEL M.D
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
1208VP0000XPain Medicine Physician2012010194MO
2207LP2900XPain Medicine (Anesthesiology) PhysicianFP2273097MO
3207R00000XInternal Medicine Physician125048979IL

General Provider Information

NPI Number : 1831369040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MITESH BABUBHAI PATEL M.D
Provider Business Mailing Address
First Line : 6439 GARNERS FERRY RD
Second Line : WJB DORN VA
City : COLUMBIA
State : SC
Zip : 29209-1638
Country : US
Telephone Number : 803-776-4000
Fax Number :
Provider Business Practice Location Address
First Line : 4100 ALLEQUIPPA ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15240-1002
Country : US
Telephone Number : 803-243-9892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2008
Last Update Date : 01/06/2026

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