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NPI Code Detail

MEDICARE: SHEETAL PATEL PA-C

MEDICARE: SHEETAL PATEL PA-C
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
1133V00000XRegistered Dietitian3862KS
2363A00000XPhysician Assistant022629NY
3133V00000XRegistered Dietitian010168NY
4133V00000XRegistered Dietitian86006810

General Provider Information

NPI Number : 1942794748
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEETAL PATEL PA-C
Provider Business Mailing Address
First Line : 3371 PENELOPE DR
Second Line :
City : STOCKTON
State : CA
Zip : 95212-3538
Country : US
Telephone Number : 209-601-7196
Fax Number :
Provider Business Practice Location Address
First Line : 2601 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-7745
Country : US
Telephone Number : 718-616-4909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2018
Last Update Date : 04/13/2026

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Directions to “ SHEETAL PATEL PA-C” Practice Location

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