Provider Demographics
NPI:1477689792
Name:PATEL, SNEHAL SURYAKANT (MD)
Entity Type:Individual
Prefix:DR
First Name:SNEHAL
Middle Name:SURYAKANT
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4600 MONTGOMERY RD
Mailing Address - Street 2:STE 105
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-2697
Mailing Address - Country:US
Mailing Address - Phone:513-487-5305
Mailing Address - Fax:513-487-5317
Practice Address - Street 1:200 MEDICAL CENTER DR
Practice Address - Street 2:STE 360
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45005-5200
Practice Address - Country:US
Practice Address - Phone:513-217-5720
Practice Address - Fax:513-217-5729
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2014-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35095540207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH430511Medicare PIN
KYP400036697Medicare PIN