MEDICARE: DR. DIPAK PATEL

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
1	183500000X	Pharmacist	RP447194	PA

General Provider Information

NPI Number	:	1740670272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIPAK PATEL

Provider Business Mailing Address
First Line	:	101 W LANCASTER AVE
Second Line	:
City	:	SHILLINGTON
State	:	PA
Zip	:	19607-1857
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 W LANCASTER AVE
Second Line	:
City	:	SHILLINGTON
State	:	PA
Zip	:	19607-1857
Country	:	US
Telephone Number	:	610-777-2313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2015
Last Update Date	:	02/04/2015

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Directions to “ DR. DIPAK PATEL ” Practice Location

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