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NPI Code Detail

MEDICARE: ANUJ PATEL M.D.

MEDICARE:   ANUJ  PATEL  M.D.
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
12085R0202XDiagnostic Radiology PhysicianMT202772PA

General Provider Information

NPI Number : 1336439652
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANUJ PATEL M.D.
Provider Business Mailing Address
First Line : 5901 TECHNOLOGY CENTER DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-6013
Country : US
Telephone Number : 317-328-3746
Fax Number : 317-570-6432
Provider Business Practice Location Address
First Line : 132 S 10TH ST
Second Line : SUITE 1087, MAIN BUILDING
City : PHILADELPHIA
State : PA
Zip : 19107-5244
Country : US
Telephone Number : 215-955-7247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2011
Last Update Date : 06/21/2017

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