Basic Information
| Provider Information | |||||||||
| NPI: | 1013228410 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | AKIL | ||||||||
| MiddleName: | P. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3700 SOUTHERN BLVD STE 300 | ||||||||
| Address2: | |||||||||
| City: | KETTERING | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454291226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9376439299 | ||||||||
| FaxNumber: | 9376432343 | ||||||||
| Practice Location | |||||||||
| Address1: | 3700 SOUTHERN BLVD STE 300 | ||||||||
| Address2: | |||||||||
| City: | KETTERING | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454291226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9376439299 | ||||||||
| FaxNumber: | 9376432343 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2010 | ||||||||
| LastUpdateDate: | 01/06/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 01/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | 35133560 | OH | Y | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | MD60741609 | WA | N | Allopathic & Osteopathic Physicians | Neurological Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0275734 | 05 | OH | MEDICAID |