Provider Demographics
NPI:1134447667
Name:PATEL, DIPTI TULSIDAS (MD)
Entity type:Individual
Prefix:DR
First Name:DIPTI
Middle Name:TULSIDAS
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6830 HOSPITAL DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4373
Mailing Address - Country:US
Mailing Address - Phone:443-559-5063
Mailing Address - Fax:443-559-5078
Practice Address - Street 1:6830 HOSPITAL DR
Practice Address - Street 2:SUITE 204
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4373
Practice Address - Country:US
Practice Address - Phone:443-559-5063
Practice Address - Fax:443-559-5078
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2016-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD041779208M00000X
MDD0077706207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist