Provider Demographics
NPI:1801406350
Name:PATEL, MANDAR HARSHIT (PT)
Entity Type:Individual
Prefix:MR
First Name:MANDAR
Middle Name:HARSHIT
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 1:16002 ENGLISH OAKS AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3338
Mailing Address - Country:US
Mailing Address - Phone:832-436-5758
Mailing Address - Fax:
Practice Address - Street 1:16002 ENGLISH OAKS AVE APT D
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3338
Practice Address - Country:US
Practice Address - Phone:832-436-5758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-08
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29159225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist