Provider Demographics
NPI:1265928998
Name:PATEL, KRISHA H (DPT)
Entity type:Individual
Prefix:
First Name:KRISHA
Middle Name:H
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9841 GREENBELT RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-6216
Mailing Address - Country:US
Mailing Address - Phone:301-220-2316
Mailing Address - Fax:301-220-2319
Practice Address - Street 1:9841 GREENBELT RD STE 103
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6216
Practice Address - Country:US
Practice Address - Phone:301-220-2316
Practice Address - Fax:301-220-2319
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26956225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist