Healthcare Provider Details

I. General information

NPI: 1881506160
Provider Name (Legal Business Name): RADHIKA PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MONUMENT RD STE 100
YORK PA
17403-5050
US

IV. Provider business mailing address

25 MONUMENT RD STE 100
YORK PA
17403-5050
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-4390
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number034072
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: