Healthcare Provider Details

I. General information

NPI: 1346555950
Provider Name (Legal Business Name): RADHIKA K PATEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2010
Last Update Date: 01/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300B PRINCETON HIGHTSTOWN RD SUITE 201
EAST WINDSOR NJ
08520-1400
US

IV. Provider business mailing address

300B PRINCETON HIGHTSTOWN RD SUITE 201
EAST WINDSOR NJ
08520-1400
US

V. Phone/Fax

Practice location:
  • Phone: 609-448-7300
  • Fax: 609-448-8022
Mailing address:
  • Phone: 609-448-7300
  • Fax: 609-448-8022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA08760300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: