Individual
DR. TEJAS NAVIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-7237
(215) 707-9389
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-7237
(215) 707-9389
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
46123
AZ
2085R0202X
Diagnostic Radiology Physician
46123
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
MD450209
PA
2085U0001X
Diagnostic Ultrasound Physician
46123
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005472
GROUP MEDICAID ID
AZ
01
—
1316187263
PHYSICIAN INDIVIDUAL NPI
AZ
01
—
1841261989
GROUP NPI
AZ
05
—
706543
—
AZ
01
—
CS7943
GROUP MEDICARE RAILROAD ID & PTAN
AZ
01
—
P01080312
MEDICARE RAILROAD
AZ
01
—
ZWCBBM
GROUP MEDICARE ID
AZ
Enumeration date
03/04/2009
Last updated
12/30/2016
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