Provider Demographics
NPI:1033345160
Name:PATIL, MUKUL B (MD)
Entity Type:Individual
Prefix:DR
First Name:MUKUL
Middle Name:B
Last Name:PATIL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3000 STONEWOOD DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090
Mailing Address - Country:US
Mailing Address - Phone:724-934-5520
Mailing Address - Fax:724-934-5533
Practice Address - Street 1:205 MARY HIGGINSON LN LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2658
Practice Address - Country:US
Practice Address - Phone:724-438-3044
Practice Address - Fax:724-438-3911
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2019-12-27
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Provider Licenses
StateLicense IDTaxonomies
CAA107954208800000X
PAMD451553208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology