Individual
NIMISH H PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4567
(724) 728-9729
Mailing address
3572 BRODHEAD RD, MONACA, PA 15061-3101
(724) 728-6284
(724) 728-7416
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101282354
VA
2085R0202X
Diagnostic Radiology Physician
35086213
OH
2085R0202X
Diagnostic Radiology Physician
MD430255
PA
2085R0204X
Vascular & Interventional Radiology Physician
0101282354
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018466000003
—
PA
05
—
2577742
—
OH
01
—
PA1964303
HIGHMARK BLUE CROSS/BLUE SHIELD
PA
Enumeration date
04/19/2006
Last updated
08/14/2024
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