MEDICARE: A.C. PATEL, 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	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	MD030487E	PA

General Provider Information

NPI Number	:	1639347479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A.C. PATEL, M.D.

Provider Business Mailing Address
First Line	:	231 NORTHERN BLVD
Second Line	:	SUITE 2
City	:	SOUTH ABINGTON TOWNSHIP
State	:	PA
Zip	:	18411-9189
Country	:	US
Telephone Number	:	570-585-6220
Fax Number	:	570-585-6234

Provider Business Practice Location Address
First Line	:	231 NORTHERN BLVD
Second Line	:	SUITE 2
City	:	SOUTH ABINGTON TOWNSHIP
State	:	PA
Zip	:	18411-9189
Country	:	US
Telephone Number	:	570-585-6220
Fax Number	:	570-585-6234

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ASHOKKUMAR C. PATEL
Credential	:	M.D.
Telephone Number	:	570-585-6220

Provider Enumeration Date	:	02/14/2008
Last Update Date	:	03/27/2009

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