Doctor Name: | MITESH PATEL |
NPI Number: | 1093987034 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 2500 English Creek Ave Building 1300 Egg Harbor Township, NJ - 082345549 |
Business Phone Number: | 6096776060 |
Business Fax Number: | 6096776061 |
Mailing Address: | 833 Chestnut St, Suite 1402 PHILADELPHIA |
State: | PA |
Postal Code: | 191074414 |
Phone Number: | 8003219999 |
Fax Number: | 2673393761 |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 11/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |