Healthcare Provider Details

I. General information

NPI: 1396618047
Provider Name (Legal Business Name): ROMY PATEL PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 S STATE ST STE 100
DOVER DE
19901-4103
US

IV. Provider business mailing address

164 SOUTHERN VIEW DR
SMYRNA DE
19977-4074
US

V. Phone/Fax

Practice location:
  • Phone: 302-734-7676
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberC5-0012351
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: