Provider Demographics
NPI:1548406218
Name:PATEL, SANJAY M (PT)
Entity Type:Individual
Prefix:
First Name:SANJAY
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4910 MASSACHUSETTS AVE NW
Mailing Address - Street 2:MID-ATLANTIC PODIATRY ASSOCIATES- SUITE 315
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4300
Mailing Address - Country:US
Mailing Address - Phone:347-553-8618
Mailing Address - Fax:
Practice Address - Street 1:4910 MASSACHUSETTS AVE NW
Practice Address - Street 2:MID-ATLANTIC PODIATRY ASSOCIATES- SUITE 315
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4300
Practice Address - Country:US
Practice Address - Phone:347-553-8618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029778225100000X
DCPT870973225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist