Provider Demographics
NPI:1508814849
Name:PATEL, ANISH SHARAD (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:ANISH
Middle Name:SHARAD
Last Name:PATEL
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Gender:M
Credentials:MD, MBA
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Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, SUITE 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-1002
Mailing Address - Country:US
Mailing Address - Phone:301-620-0012
Mailing Address - Fax:301-620-9687
Practice Address - Street 1:75 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE C
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4895
Practice Address - Country:US
Practice Address - Phone:301-620-0012
Practice Address - Fax:301-620-9687
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD64315207LP2900X
MDD0064315208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine