Provider Demographics
NPI:1154066371
Name:PATEL, MAYURI MAHENDRABHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:MAYURI
Middle Name:MAHENDRABHAI
Last Name:PATEL
Suffix:
Gender:F
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:MEDSTAR UNION MEMORIAL HOSPITAL
Mailing Address - Street 2:201 E. UNIVERSITY PARKWAY. SUITE 405
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:410-554-2284
Mailing Address - Fax:410-554-2184
Practice Address - Street 1:MEDSTAR FRANKLIN SQUARE MEDICAL CENTER
Practice Address - Street 2:9000 FRANKLIN SQUARE DRIVE. PRIMARY CARE CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237
Practice Address - Country:US
Practice Address - Phone:410-777-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2023-02-22
Deactivation Date:2023-01-30
Deactivation Code:
Reactivation Date:2023-02-07
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program