Provider Demographics
NPI:1063696052
Name:PATEL, MITESH (MD)
Entity type:Individual
Prefix:DR
First Name:MITESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:ROOM 3A-3
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3017
Mailing Address - Country:US
Mailing Address - Phone:202-877-0160
Mailing Address - Fax:202-877-8163
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:ROOM 3A-3
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-0160
Practice Address - Fax:202-877-8163
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY238405207R00000X, 207RG0100X
DCMD040032207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine