Prafullkumar Patel, MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRAFULLKUMAR PATEL, MD LLC

Doing business as

Prafullkumar Patel, MD LLC

Practice address

4600 Ritchie Hwy
Brooklyn Park, MD 21225-2753

Phone

(443) 538-3633

Fax

(410) 789-2826

NPI assigned

Jul 27, 2021

Organization subpart

Yes

Parent organization

PRAFULLKUMAR PATEL, MD LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Prafullkumar Patel, MDNPI 1750302154

Title

Managing Director

Phone

(410) 789-1469

Specialties & licenses 1

Addresses

Other names 1

• Prafullkumar Patel, MD LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Prafullkumar Patel MD LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prafullkumar Gordhan Patel, M.D.

  • Internal Medicine Physician
  • Brooklyn Park, MD
  • NPI 1750302154
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1679246540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 RITCHIE HWY",
            "city": "BROOKLYN PARK",
            "state": "MD",
            "postal_code": "212252753",
            "telephone_number": "443-538-3633",
            "fax_number": "410-789-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 RITCHIE HWY",
            "city": "BROOKLYN PARK",
            "state": "MD",
            "postal_code": "212252753",
            "telephone_number": "443-538-3633",
            "fax_number": "410-789-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAFULLKUMAR PATEL, MD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAFULLKUMAR PATEL, MD LLC",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAFULLKUMAR",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "410-789-1469",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prafullkumar Patel, MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirsten Parks, CRNP
• Mitra Parsa, DDS
• Carlos N Patalinghug Sr., M.D.
• Prafullkumar Gordhan Patel, M.D.
• Elizabeth Pettway, MS-CCC-SLP
• Priority Home Care of Maryland
• Project Chesapeake LLC
• Project Chesapeake LLC
• Project Chesapeake, LLC
• Project Chesapeake, LLC

• Internal Medicine Physician in Brooklyn Park, MD
• Providers in Brooklyn Park, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.