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NPI Code Detail

MEDICARE: DR. ROSHNI GANDHI PATEL D.P.M.

MEDICARE: DR. ROSHNI GANDHI PATEL D.P.M.
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
1213ES0103XFoot & Ankle Surgery Podiatrist25MD00325000NJ
2213ES0103XFoot & Ankle Surgery Podiatrist765NC

General Provider Information

NPI Number : 1073871737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSHNI GANDHI PATEL D.P.M.
Provider Business Mailing Address
First Line : 100 CROSSING BLVD STE 300
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-5555
Country : US
Telephone Number : 617-964-6681
Fax Number : 339-686-2561
Provider Business Practice Location Address
First Line : 5960 FAIRVIEW RD STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-0202
Country : US
Telephone Number : 888-964-6681
Fax Number : 888-662-0859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2012
Last Update Date : 04/29/2021

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