Provider Demographics
NPI:1922021997
Name:PATEL, TUSHAR C (MD)
Entity Type:Individual
Prefix:MR
First Name:TUSHAR
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5454 WISCONSIN AVE
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815
Mailing Address - Country:US
Mailing Address - Phone:301-657-1996
Mailing Address - Fax:301-951-6160
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:SUITE 1000
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-657-1996
Practice Address - Fax:301-951-6160
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101226327207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6403450Medicaid
110230773OtherMEDICARE RAILROAD
0962280003Medicare NSC
0962280001Medicare NSC
0962280006Medicare NSC
110230773OtherMEDICARE RAILROAD
G06848Medicare UPIN
VA6403450Medicaid
0962280017Medicare NSC
VA006454C95Medicare PIN