Doctor Name: | DEVANG PATEL |
NPI Number: | 1477934396 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MT208482 |
Business Practice Address: | 1500 Fifth Ave 1st Floor Kelly Buiilding, Internal Medicine Center Mckeesport, PA - 151322422 |
Business Phone Number: | 4126642782 |
Business Fax Number: | 4126642784 |
Mailing Address: | 250 Cedar Ridge Dr, Apt 813 MONROEVILLE |
State: | PA |
Postal Code: | 151463163 |
Phone Number: | 6308421990 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2015 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MT208482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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. |