MEDICARE: DR. HAMIDA K 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
1	207R00000X	Internal Medicine Physician	D0062963	MD

General Provider Information

NPI Number	:	1891790994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAMIDA K PATEL M.D.

Provider Business Mailing Address
First Line	:	5000 COX RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-9263
Country	:	US
Telephone Number	:	804-968-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	8830 BELAIR RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21236-2401
Country	:	US
Telephone Number	:	410-529-9200
Fax Number	:	410-529-9203

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	03/10/2022

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