MEDICARE: MEGHA P PATEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	25MA12168900	NJ
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	C1-0029110	DE
3	207QG0300X	Geriatric Medicine (Family Medicine) Physician	1013398486	NE
4	207QG0300X	Geriatric Medicine (Family Medicine) Physician	04-52468	KS
5	207QG0300X	Geriatric Medicine (Family Medicine) Physician	100529	GA
6	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD-56419	IA
7	207QG0300X	Geriatric Medicine (Family Medicine) Physician	CDR.0006762	CO
8	207QG0300X	Geriatric Medicine (Family Medicine) Physician	35.154740	OH
9	207QG0300X	Geriatric Medicine (Family Medicine) Physician	0101287566	VA
10	207QG0300X	Geriatric Medicine (Family Medicine) Physician	036.178543	IL
11	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD471595	PA
12	207QG0300X	Geriatric Medicine (Family Medicine) Physician	ME167217	FL
13	207QG0300X	Geriatric Medicine (Family Medicine) Physician	351264	LA
14	207Q00000X	Family Medicine Physician	MT209468	PA
15	207QG0300X	Geriatric Medicine (Family Medicine) Physician	D0102464	MD

General Provider Information

NPI Number	:	1013398486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHA P PATEL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 211699
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-3699
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:	888-973-8821

Provider Business Practice Location Address
First Line	:	100 S JUNIPER ST STE 3
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-2703
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2015
Last Update Date	:	04/02/2026

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