Provider Demographics
NPI:1861506677
Name:PATEL, DINESH N (MD)
Entity Type:Individual
Prefix:
First Name:DINESH
Middle Name:N
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 1:2770 E RAY DR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1505
Mailing Address - Country:US
Mailing Address - Phone:740-455-3626
Mailing Address - Fax:
Practice Address - Street 1:975 BETHESDA DR
Practice Address - Street 2:DOCTORS PARK 7
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-7500
Practice Address - Country:US
Practice Address - Phone:740-454-3264
Practice Address - Fax:740-454-6266
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35045149P207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH333919OtherFEDERAL BLACK LUNG
OH311480941019OtherTRICARE
OH0432320Medicaid
OHM45149OtherHEALTH PLAN
OH000000211899OtherANTHEM
OH311480941019OtherTRICARE
OH0432320Medicaid