| Doctor Name: | SHIMUL SHAH PATEL |
| NPI Number: | 1740475151 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD 14419 |
| Business Practice Address: | Cmr 416 Box 799 Apo, AE - 09140 |
| Business Phone Number: | 015152971710 |
| Business Fax Number: | |
| Mailing Address: | 8289 Hammond Branch Way, LAUREL |
| State: | MD |
| Postal Code: | 207231053 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2007 |
| NPI Last Update Date: | 09/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD 14419 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |