Patel, Prafullkumar Gordhan

Patel, Prafullkumar Gordhan is an individual health care provider with primary practice located at 4600 Ritchie Hwy , Brooklyn Park MD 21225-2753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Patel, Prafullkumar Gordhan can be contacted via phone (410) 789-1469.

Contact Information

Primary practice address
4600 Ritchie Hwy Brooklyn Park MD 21225-2753
Phone: (410) 789-1469
Fax: (410) 789-2826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D37111 Maryland

Profile Details

NPI number 1750302154
LBN Legal business name Patel, Prafullkumar Gordhan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Oct 11th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750302154 NPPES
Maryland MEDICAID 547481700

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