| Doctor Name: | DR. SURYAPRAKASH D. PATEL |
| NPI Number: | 1750316964 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35037302P |
| Business Practice Address: | 1050 Delaware Ave Marion, OH - 43302 |
| Business Phone Number: | 7403837778 |
| Business Fax Number: | 7403758118 |
| Mailing Address: | L-3549, 1050 Delaware Avenue COLUMBUS |
| State: | OH |
| Postal Code: | 432600001 |
| Phone Number: | 7403837927 |
| Fax Number: | 7403837942 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 11/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 35037302P |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |