MEDICARE: DR. DEVANG G 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
1	207RG0100X	Gastroenterology Physician	MA 71445	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558395046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEVANG G PATEL MD

Provider Business Mailing Address
First Line	:	906 OAK TREE AVE
Second Line	:	SUITE J
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5127
Country	:	US
Telephone Number	:	908-755-9993
Fax Number	:	908-755-9994

Provider Business Practice Location Address
First Line	:	906 OAK TREE AVE
Second Line	:	SUITE J
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5127
Country	:	US
Telephone Number	:	908-755-9993
Fax Number	:	908-755-9994

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. DEVANG G PATEL MD” Practice Location

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