MEDICARE: PIYUSH VINAYKUMAR 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	207RH0003X	Hematology & Oncology Physician	110321	GA
2	208M00000X	Hospitalist Physician	35 . 090596	OH
3	207RH0003X	Hematology & Oncology Physician	35.090596	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972529873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PIYUSH VINAYKUMAR PATEL MD

Provider Business Mailing Address
First Line	:	3170 KETTERING BLVD BLDG B3
Second Line	:
City	:	MORAINE
State	:	OH
Zip	:	45439-1924
Country	:	US
Telephone Number	:	937-991-3100
Fax Number	:	937-223-9811

Provider Business Practice Location Address
First Line	:	400 SUGAR CAMP CIR STE 200
Second Line	:
City	:	OAKWOOD
State	:	OH
Zip	:	45409-1981
Country	:	US
Telephone Number	:	937-276-8320
Fax Number	:	937-276-8325

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	11/17/2025

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