Provider Demographics
NPI:1083025662
Name:PATEL, NEEL (MD, DMD)
Entity Type:Individual
Prefix:DR
First Name:NEEL
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 WISCONSIN AVE STE 930
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4316
Mailing Address - Country:US
Mailing Address - Phone:301-656-9565
Mailing Address - Fax:
Practice Address - Street 1:5530 WISCONSIN AVE STE 930
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4316
Practice Address - Country:US
Practice Address - Phone:301-656-9565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16778204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery