Provider Demographics
NPI:1639631922
Name:PATEL, SACHI BHARAT (DPM)
Entity Type:Individual
Prefix:
First Name:SACHI
Middle Name:BHARAT
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 ROCKLAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-1724
Mailing Address - Country:US
Mailing Address - Phone:847-877-3234
Mailing Address - Fax:
Practice Address - Street 1:20 CROSSROADS DR STE 15
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5479
Practice Address - Country:US
Practice Address - Phone:410-363-4343
Practice Address - Fax:410-356-6373
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2023-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01738213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery