Provider Demographics
NPI:1730434291
Name:PATEL, RISHIN C (MD)
Entity type:Individual
Prefix:
First Name:RISHIN
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5147 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:NEW FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44319-3911
Mailing Address - Country:US
Mailing Address - Phone:330-644-3747
Mailing Address - Fax:330-644-9815
Practice Address - Street 1:5147 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:NEW FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:44319-3911
Practice Address - Country:US
Practice Address - Phone:330-644-3747
Practice Address - Fax:330-644-9815
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57020961207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0124960Medicaid
OH0124960Medicaid