MEDICARE: KRISHANI PATEL

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	207P00000X	Emergency Medicine Physician	MD494335	PA

General Provider Information

NPI Number	:	1700571130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISHANI PATEL

Provider Business Mailing Address
First Line	:	242 S 13TH ST APT B
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5668
Country	:	US
Telephone Number	:	570-690-8176
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 SANSOM ST STE 1651B
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5002
Country	:	US
Telephone Number	:	215-955-9837
Fax Number	:	215-955-9870

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

Provider Enumeration Date	:	04/11/2023
Last Update Date	:	03/20/2026

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Directions to “ KRISHANI PATEL ” Practice Location

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