Healthcare Provider Details

I. General information

NPI: 1639339765
Provider Name (Legal Business Name): RAMESH P PATEL MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 POST AVE
NEW STANTON PA
15672
US

IV. Provider business mailing address

PO BOX 530 142 POST AVE
NEW STANTON PA
15672-0530
US

V. Phone/Fax

Practice location:
  • Phone: 724-925-9366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD030131E
License Number StatePA

VIII. Authorized Official

Name: DR. RAMESH P PATEL
Title or Position: MD
Credential: MD
Phone: 724-925-9366