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NPI Code Detail

MEDICARE: VIDEHI PATEL MD

MEDICARE: VIDEHI PATEL MD
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
1207Q00000XFamily Medicine PhysicianC1-0024048DE
2207Q00000XFamily Medicine PhysicianMD462788PA

General Provider Information

NPI Number : 1316353600
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIDEHI PATEL MD
Provider Business Mailing Address
First Line : 801 OSTRUM ST
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-1000
Country : US
Telephone Number : 484-526-6048
Fax Number : 484-526-6500
Provider Business Practice Location Address
First Line : 305 W NORTH ST
Second Line :
City : NAZARETH
State : PA
Zip : 18064-1308
Country : US
Telephone Number : 610-759-2209
Fax Number : 610-759-2340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2014
Last Update Date : 03/30/2021

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Directions to “ VIDEHI PATEL MD” Practice Location

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