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NPI Code Detail

MEDICARE: MS. PINKI BHUPENDRA PATEL CRNP

MEDICARE: MS. PINKI BHUPENDRA PATEL CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP010758PA

General Provider Information

NPI Number : 1063723351
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PINKI BHUPENDRA PATEL CRNP
Provider Business Mailing Address
First Line : 51 NORTH 39TH STREET
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2640
Country : US
Telephone Number : 215-662-9595
Fax Number : 215-243-3243
Provider Business Practice Location Address
First Line : 51 NORTH 39TH STREET
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2640
Country : US
Telephone Number : 215-662-9595
Fax Number : 215-243-3243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 04/08/2026

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