Provider Demographics
NPI:1275617904
Name:PATEL, MEHOOL A (MD, MBA)
Entity Type:Individual
Prefix:
First Name:MEHOOL
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 23RD ST
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-1404
Mailing Address - Country:US
Mailing Address - Phone:330-971-7892
Mailing Address - Fax:330-926-5870
Practice Address - Street 1:1900 23RD ST
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1404
Practice Address - Country:US
Practice Address - Phone:330-971-7892
Practice Address - Fax:330-926-5870
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35076932207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2477145Medicaid
OH7368748OtherAETNA
OH000000340233OtherANTHEM
OH2477145Medicaid
OH295761967001OtherMM
OH341587155MPOtherSUMMACARE
OH7368748OtherAETNA