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NPI Code Detail

MEDICARE: DR. SHALIN PATEL M.D.

MEDICARE: DR. SHALIN 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
1207XS0117XOrthopaedic Surgery of the Spine Physician25IA12516100NJ
2207XS0117XOrthopaedic Surgery of the Spine PhysicianR7558TX
3207XS0117XOrthopaedic Surgery of the Spine PhysicianMD047348DC
4207XS0117XOrthopaedic Surgery of the Spine Physician25IA12516100MD

General Provider Information

NPI Number : 1124387881
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHALIN PATEL M.D.
Provider Business Mailing Address
First Line : 1455 BROAD ST STE 250
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3066
Country : US
Telephone Number : 877-532-7837
Fax Number :
Provider Business Practice Location Address
First Line : 1455 BROAD ST STE 250
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3066
Country : US
Telephone Number : 877-532-7837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2012
Last Update Date : 01/05/2026

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