Provider Demographics
NPI:1508480484
Name:PATEL, RICHA
Entity type:Individual
Prefix:
First Name:RICHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31384 W ESSIG LN
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-6870
Mailing Address - Country:US
Mailing Address - Phone:919-924-4633
Mailing Address - Fax:
Practice Address - Street 1:8284 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3153
Practice Address - Country:US
Practice Address - Phone:513-231-1012
Practice Address - Fax:513-231-3925
Is Sole Proprietor?:No
Enumeration Date:2020-06-05
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38161122300000X
NC118331223G0001X
OH30.0278421223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice