NPI Code Details Logo

NPI 1366389199

NPI 1366389199 : MEDSPIKE INFUSION & WELLNESS PLLC : FAIRLESS HILLS, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366389199
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MEDSPIKE INFUSION & WELLNESS PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/30/2026
-----------------------------------------------------
    Last Update Date     |    04/30/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    333 N OXFORD VALLEY RD STE 404 
-----------------------------------------------------
    City                 |    FAIRLESS HILLS
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19030-2629
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    570-504-1242
-----------------------------------------------------
    Fax                  |    267-710-4407
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    333 N OXFORD VALLEY RD STE 404 
-----------------------------------------------------
    City                 |    FAIRLESS HILLS
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19030-2629
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    570-504-1242
-----------------------------------------------------
    Fax                  |    267-710-4407
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OPERATIONS MANAGER
-----------------------------------------------------
    Name                 |    MR. PANKAJ  PATEL 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    267-279-4167
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QI0500X
-----------------------------------------------------
    Taxonomy Name        |    Infusion Therapy Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.