Provider Demographics
NPI:1912940636
Name:PATEL, ANKITA (APRN)
Entity Type:Individual
Prefix:MS
First Name:ANKITA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:ANKITA
Other - Middle Name:
Other - Last Name:CHOKSHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25000 COUNTRY CLUB BLVD
Mailing Address - Street 2:#255
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-5344
Mailing Address - Country:US
Mailing Address - Phone:440-893-0200
Mailing Address - Fax:440-793-7194
Practice Address - Street 1:25000 COUNTRY CLUB BLVD
Practice Address - Street 2:#255
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-5344
Practice Address - Country:US
Practice Address - Phone:440-893-0200
Practice Address - Fax:440-793-7194
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT085124163W00000X
CT003811363LG0600X
OHCOA.10853-NP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0130362Medicaid
CTD400000082Medicare PIN
NJ0130362Medicaid
NJ103390V0YMedicare Oscar/Certification