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NPI Code Detail

MEDICARE: DR. SHAUNAK PATEL M.D.

MEDICARE: DR. SHAUNAK 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
1207R00000XInternal Medicine PhysicianC1-0006228DE

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2044540OTHERPAMEDICARE GROUP PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912970997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAUNAK PATEL M.D.
Provider Business Mailing Address
First Line : 809 TURNPIKE AVENUE
Second Line :
City : CLEARFIELD
State : PA
Zip : 16830-1232
Country : US
Telephone Number : 814-768-2358
Fax Number : 814-768-3119
Provider Business Practice Location Address
First Line : 809 TURNPIKE AVENUE
Second Line :
City : CLEARFIELD
State : PA
Zip : 16830-1232
Country : US
Telephone Number : 814-768-2358
Fax Number : 814-768-3119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 08/24/2012

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

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