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General NPI Number Information
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NPI Number | 1962039073
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Entity Type | Individual
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Provider Name | RAVIN PATEL DO
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 352 S DELSEA DR UNIT C
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City | VINELAND
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State | NJ
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Zip | 08360-5308
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Country | US
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Telephone | 856-690-1616
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Fax | 856-896-6107
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Provider Business Mailing Address
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Address Line | 352 S DELSEA DR UNIT C
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City | VINELAND
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State | NJ
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Zip | 08360-5308
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Country | US
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Telephone | 856-690-1616
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Fax | 856-896-6107
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 25MB11571900
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License Number State | NJ
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