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NPI Code Detail

MEDICARE: DR. NIRAV PATEL M.D.

MEDICARE:  DR. NIRAV  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 PhysicianMT187352PA

General Provider Information

NPI Number : 1467671388
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NIRAV PATEL M.D.
Provider Business Mailing Address
First Line : 1000 WALNUT ST
Second Line : APT. 909
City : PHILADELPHIA
State : PA
Zip : 19107-5517
Country : US
Telephone Number : 646-245-8360
Fax Number :
Provider Business Practice Location Address
First Line : 1000 WALNUT ST
Second Line : APT. 909
City : PHILADELPHIA
State : PA
Zip : 19107-5517
Country : US
Telephone Number : 646-245-8360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 07/08/2007

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Directions to “ DR. NIRAV PATEL M.D.” Practice Location

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