Provider Demographics
NPI:1467748244
Name:PATEL, ANISH S (MD, MBA)
Entity Type:Individual
Prefix:
First Name:ANISH
Middle Name:S
Last Name:PATEL
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Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:7450 ALBERT RD FL 3
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-3035
Mailing Address - Country:US
Mailing Address - Phone:301-599-0460
Mailing Address - Fax:301-888-2233
Practice Address - Street 1:7450 ALBERT RD FL 3
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-3035
Practice Address - Country:US
Practice Address - Phone:301-599-0460
Practice Address - Fax:301-888-2233
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101263139207RS0010X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery