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NPI Code Detail

MEDICARE: DR. SEJAL C PATEL O.D.

MEDICARE: DR. SEJAL C PATEL O.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
1152W00000XOptometristOPT-6002OH

General Provider Information

NPI Number : 1588960892
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEJAL C PATEL O.D.
Provider Business Mailing Address
First Line : 408 LAURA LN
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19116-1673
Country : US
Telephone Number : 215-941-7450
Fax Number :
Provider Business Practice Location Address
First Line : 8401 COLERAIN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-3926
Country : US
Telephone Number : 513-898-8620
Fax Number : 513-898-8625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2011
Last Update Date : 02/03/2011

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