Provider Demographics
NPI:1154337681
Name:PATEL, AJAYKUMAR S (MD)
Entity type:Individual
Prefix:DR
First Name:AJAYKUMAR
Middle Name:S
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5730 EXECUTIVE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1762
Mailing Address - Country:US
Mailing Address - Phone:978-536-7850
Mailing Address - Fax:877-820-9727
Practice Address - Street 1:100 BROOKSBY VILLAGE DR
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-1438
Practice Address - Country:US
Practice Address - Phone:978-536-7580
Practice Address - Fax:877-280-9727
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-02-10
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Provider Licenses
StateLicense IDTaxonomies
MA262869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00927460OtherRAILROAD MCR
PA073385Medicare PIN