MEDICARE: AADHAR PATIL 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	207RC0000X	Cardiovascular Disease Physician	MD480480	PA

General Provider Information

NPI Number	:	1457748881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AADHAR PATIL M.D.

Provider Business Mailing Address
First Line	:	263 FARMINGTON AVE
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06030-1235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9501 ROOSEVELT BLVD STE 501
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1030
Country	:	US
Telephone Number	:	215-673-5000
Fax Number	:

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

Provider Enumeration Date	:	04/23/2015
Last Update Date	:	01/02/2025

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