Provider Demographics
NPI:1952862773
Name:PATEL, MILAN PIYUSH (MD)
Entity type:Individual
Prefix:DR
First Name:MILAN
Middle Name:PIYUSH
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3495 ROSE CREST LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1633
Mailing Address - Country:US
Mailing Address - Phone:703-869-8510
Mailing Address - Fax:
Practice Address - Street 1:15225 SHADY GROVE RD STE 201
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3278
Practice Address - Country:US
Practice Address - Phone:301-670-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME162554207R00000X
MDD0103463207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine