Healthcare Provider Details

I. General information

NPI: 1184366072
Provider Name (Legal Business Name): HIMANI RAJENDRAKUMAR PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5445 LANARK RD STE 300
CENTER VALLEY PA
18034-8694
US

IV. Provider business mailing address

5445 LANARK RD STE 300
CENTER VALLEY PA
18034-8694
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-7300
  • Fax: 866-449-5832
Mailing address:
  • Phone: 484-526-7300
  • Fax: 866-449-5832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMT233319
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: