Provider Demographics
NPI:1023186269
Name:PATEL, SUBHASH RAMANLAL (MD)
Entity Type:Individual
Prefix:
First Name:SUBHASH
Middle Name:RAMANLAL
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W WALLACE ST
Mailing Address - Street 2:SUITE A5
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1242
Mailing Address - Country:US
Mailing Address - Phone:419-425-1600
Mailing Address - Fax:419-425-0600
Practice Address - Street 1:300 W WALLACE ST
Practice Address - Street 2:SUITE A5
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1242
Practice Address - Country:US
Practice Address - Phone:419-425-1600
Practice Address - Fax:419-425-0600
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH66378208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0968181Medicaid
OHF79489Medicare UPIN
OH0968181Medicaid