Basic Information
| Provider Information | |||||||||
| NPI: | 1356395388 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | ARATI | ||||||||
| MiddleName: | CHEPUR | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 110 HOSPITAL RD | ||||||||
| Address2: | STE 105 | ||||||||
| City: | PRINCE FREDERICK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 20678 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104149116 | ||||||||
| FaxNumber: | 4104149118 | ||||||||
| Practice Location | |||||||||
| Address1: | 110 HOSPITAL RD | ||||||||
| Address2: | STE 105 | ||||||||
| City: | PRINCE FREDERICK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 20678 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104149116 | ||||||||
| FaxNumber: | 4104149118 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2006 | ||||||||
| LastUpdateDate: | 09/30/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 09/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | D0059061 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 2333038 | 01 | MD | CIGNA HMO PPO | OTHER | 2107104 | 01 | MD | MAMSI HMO PPO | OTHER | KE1461883201 | 01 | MD | CAREFIRST BSMD | OTHER | 7854433 | 01 | MD | AETNA PPO | OTHER | G8600001 | 01 | DC | CAREFIRST BSDC | OTHER | 124724 | 01 | MD | JOHN HOPKINS PRIORITY PRT | OTHER | 3080453 | 01 | MD | AETNA HMO | OTHER | 401427800 | 05 | MD | MEDICAID |