Provider Demographics
NPI:1174028286
Name:PATEL, UMANG DHARMENDRAKUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:UMANG
Middle Name:DHARMENDRAKUMAR
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 ASHERS FARM RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-6592
Mailing Address - Country:US
Mailing Address - Phone:443-255-0923
Mailing Address - Fax:
Practice Address - Street 1:4000 MITCHELLVILLE RD STE B220
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3147
Practice Address - Country:US
Practice Address - Phone:301-257-5489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0091160207RG0300X, 207RA0401X, 207R00000X, 207RH0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty
No207RH0005XAllopathic & Osteopathic PhysiciansInternal MedicineHypertension Specialist