Provider Demographics
NPI:1164665113
Name:PATEL, SEEMA MITTAL (MD, MPH)
Entity Type:Individual
Prefix:
First Name:SEEMA
Middle Name:MITTAL
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:SEEMA
Other - Middle Name:
Other - Last Name:MITTAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5530 WISCONSIN AVE STE 1455
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4302
Mailing Address - Country:US
Mailing Address - Phone:301-656-6700
Mailing Address - Fax:301-656-6701
Practice Address - Street 1:5530 WISCONSIN AVE STE 1455
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4302
Practice Address - Country:US
Practice Address - Phone:301-656-6700
Practice Address - Fax:301-656-6701
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126879208600000X, 208600000X
FLTRN20629390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program