Provider Demographics
NPI:1356654131
Name:PATEL, NEELAM (OD)
Entity Type:Individual
Prefix:
First Name:NEELAM
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4201 PENRITH CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8276
Mailing Address - Country:US
Mailing Address - Phone:614-275-9840
Mailing Address - Fax:614-275-9847
Practice Address - Street 1:1221 GEORGESVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-3327
Practice Address - Country:US
Practice Address - Phone:614-275-9840
Practice Address - Fax:614-275-9847
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002361152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist