Provider Demographics
NPI:1801820923
Name:PATEL, HARISH K (MD)
Entity Type:Individual
Prefix:DR
First Name:HARISH
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1704 NORTH ROAD SE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484
Mailing Address - Country:US
Mailing Address - Phone:330-856-3178
Mailing Address - Fax:330-856-5839
Practice Address - Street 1:1704 NORTH ROAD SE
Practice Address - Street 2:SUITE 2
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484
Practice Address - Country:US
Practice Address - Phone:330-856-3178
Practice Address - Fax:330-856-5839
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2015-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH350846942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2620613Medicaid
OHPA4177131Medicare ID - Type Unspecified