MEDICARE: DR. MEGHNA M PATEL D.O.

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	208000000X	Pediatrics Physician	278717	NY
2	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	OS018203	PA

General Provider Information

NPI Number	:	1295097376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGHNA M PATEL D.O.

Provider Business Mailing Address
First Line	:	PO BOX 22383
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-2383
Country	:	US
Telephone Number	:	215-871-6562
Fax Number	:

Provider Business Practice Location Address
First Line	:	4190 CITY AVE STE 320
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-1633
Country	:	US
Telephone Number	:	215-871-6425
Fax Number	:

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

Provider Enumeration Date	:	06/13/2012
Last Update Date	:	07/11/2025

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