Provider Demographics
NPI:1285523910
Name:PATEL, DIYA BHAVESH
Entity type:Individual
Prefix:
First Name:DIYA
Middle Name:BHAVESH
Last Name:PATEL
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1972 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-3993
Mailing Address - Country:US
Mailing Address - Phone:908-342-6387
Mailing Address - Fax:
Practice Address - Street 1:75 ARCH ST STE 201
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1431
Practice Address - Country:US
Practice Address - Phone:877-323-9067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical