Provider Demographics
NPI:1528114071
Name:PATEL, DINO S (MD)
Entity type:Individual
Prefix:
First Name:DINO
Middle Name:S
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DINUBHAI
Other - Middle Name:S
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:19 WALKER AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:410-653-2290
Mailing Address - Fax:410-653-8784
Practice Address - Street 1:19 WALKER AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-4078
Practice Address - Country:US
Practice Address - Phone:410-653-2290
Practice Address - Fax:410-653-8784
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD28530207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD6773DSOtherBCBS OF MD CARE FIRST
DCE257OtherBCBS ORCA
MD6773Medicare ID - Type Unspecified
DCE257OtherBCBS ORCA