Provider Demographics
NPI:1417985235
Name:PATEL, UMAKANT K (MD)
Entity Type:Individual
Prefix:MR
First Name:UMAKANT
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7021 BEECH HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-1470
Mailing Address - Country:US
Mailing Address - Phone:513-821-7433
Mailing Address - Fax:513-821-7455
Practice Address - Street 1:7021 BEECH HOLLOW DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-1470
Practice Address - Country:US
Practice Address - Phone:513-821-7433
Practice Address - Fax:513-821-7455
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH054520207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000013962OtherANTHEM
OH0671107Medicaid
KY64867195Medicaid
A17006Medicare UPIN
KY1972401Medicare PIN
OH0601461Medicare PIN