| Ashvin J. Patel, M.d. Pa | |
|
102 Paul Mellon Ct Suite 102 Waldorf MD 20602-2788 | |
| (301) 645-7414 | |
| (301) 645-7997 |
| Full Name | Ashvin J. Patel, M.d. Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 102 Paul Mellon Ct, Waldorf, Maryland |
| Authorized Official Name and Position | Ashvinkumar J Patel (OWNER) |
| Authorized Official Contact | 3016457414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashvin J. Patel, M.d. Pa 102 Paul Mellon Ct Suite 102 Waldorf MD 20602-2788 Ph: (301) 645-7414 | Ashvin J. Patel, M.d. Pa 102 Paul Mellon Ct Suite 102 Waldorf MD 20602-2788 Ph: (301) 645-7414 |
| NPI Number | 1306140462 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 01/04/2011 |
| Medicare PECOS PAC ID | 8022292374 |
|---|---|
| Medicare Enrollment ID | O20110411000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306140462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D44436 (Maryland) | Primary |
| Provider Name | Ashvinkumar J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962409151 PECOS PAC ID: 0244284867 Enrollment ID: I20050308000144 |
| Provider Name | Shayla Mari Hemingway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881449650 PECOS PAC ID: 0042652604 Enrollment ID: I20240528002830 |
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