Provider Demographics
NPI:1700814506
Name:PATEL, SACHIN (DC)
Entity Type:Individual
Prefix:
First Name:SACHIN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4226 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-3102
Mailing Address - Country:US
Mailing Address - Phone:513-531-2277
Mailing Address - Fax:513-153-1227
Practice Address - Street 1:4226 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-3102
Practice Address - Country:US
Practice Address - Phone:513-531-2277
Practice Address - Fax:513-153-1227
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHV05236Medicare UPIN