Patel, Komal
Patel, Komal is an sole proprietor health care provider with primary practice located at 3300 Centennial Ln , Ellicott City MD 21042-3600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Patel, Komal can be contacted via phone (443) 776-0765.Contact Information
Primary practice address
3300 Centennial Ln
Ellicott City MD 21042-3600
Phone: (443) 776-0765
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R219909 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R219909 | Maryland |
Profile Details
| NPI number | 1295373744 |
|---|---|
| LBN Legal business name | Patel, Komal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2019 |
| Last updated | Jan 23rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295373744 | NPPES |
| Maryland | MEDICAID | R219909 |
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